MEDICARE: DR. SUNITA PEREIRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	76806	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205825213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNITA PEREIRA M.D.

Provider Business Mailing Address
First Line	:	54 ROWENA RD
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-2440
Country	:	US
Telephone Number	:	617-965-4063
Fax Number	:	617-636-1456

Provider Business Practice Location Address
First Line	:	750 WASHINGTON ST
Second Line	:	BOX 44
City	:	BOSTON
State	:	MA
Zip	:	02111-1526
Country	:	US
Telephone Number	:	617-636-5322
Fax Number	:	617-636-1456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/08/2007

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