Individual
SARAH E DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6206
(508) 334-6083
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(002) 258-8858
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
057795
GA
208000000X
Pediatrics Physician
Primary
247061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092823A
—
MA
Enumeration date
01/17/2007
Last updated
07/07/2021
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