MEDICARE: SARAH BOHAN

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	104100000X	Social Worker	226489	MA

General Provider Information

NPI Number	:	1730843111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BOHAN

Provider Business Mailing Address
First Line	:	220 RESERVOIR ST STE 28
Second Line	:
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-3133
Country	:	US
Telephone Number	:	781-429-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 RESERVOIR ST STE 28
Second Line	:
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-3133
Country	:	US
Telephone Number	:	781-429-7755
Fax Number	:

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

Provider Enumeration Date	:	10/22/2021
Last Update Date	:	10/22/2021

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Directions to “ SARAH BOHAN ” Practice Location

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