Basic Information
Provider Information
NPI: 1679077069
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARPENTER
FirstName: SARAH
MiddleName: ELIZABETH
NamePrefix:  
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Credential:  
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Mailing Information
Address1: ONE BOSTON MEDICAL CENTER PLACE
Address2: DEPARTMENT OF EMERGENCY MEDICINE
City: BOSTON
State: MA
PostalCode: 021182632
CountryCode: US
TelephoneNumber: 9125716059
FaxNumber:  
Practice Location
Address1: 1 BOSTON MEDICAL CTR PL STE 1
Address2:  
City: BOSTON
State: MA
PostalCode: 021182999
CountryCode: US
TelephoneNumber: 6176388000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2018
LastUpdateDate: 09/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X294734MAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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