Individual
ALLA R SARKISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
497 MAIN STREET, 4B, GROTON, MA 01450
(978) 449-0471
(978) 784-9982
Mailing address
200 GROTON ROAD, NASHOBA VALLEY HEALTHCARE GROUP, AYER, MA 01432
(978) 784-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2084666
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142051
—
MA
01
—
MX7048
PTAN
MA
01
—
MX7054
PTAN 41
MA
Enumeration date
10/19/2005
Last updated
03/04/2009
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