MEDICARE: SARA BREWER 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	2084P0800X	Psychiatry Physician	219810	MA

General Provider Information

NPI Number	:	1245397660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BREWER M.D.

Provider Business Mailing Address
First Line	:	6 PROSPECT CT
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-2225
Country	:	US
Telephone Number	:	413-426-8006
Fax Number	:	413-781-6362

Provider Business Practice Location Address
First Line	:	77 MILL ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4598
Country	:	US
Telephone Number	:	413-301-9355
Fax Number	:	413-572-4117

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	12/14/2023

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