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NPI Code Detail

MEDICARE: SASHA DE LA CRUZ

MEDICARE:   SASHA  DE LA CRUZ
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
1104100000XSocial WorkerMA

General Provider Information

NPI Number : 1356868582
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA DE LA CRUZ
Provider Business Mailing Address
First Line : 30 WARREN ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3602
Country : US
Telephone Number : 617-254-3800
Fax Number :
Provider Business Practice Location Address
First Line : 40 ARMINGTON ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-2406
Country : US
Telephone Number : 617-635-8532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 08/28/2017

Similar Medicare Providers

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1225513799 — LITA MARIA FASANO ED.M.
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Directions to “ SASHA DE LA CRUZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.