Organization
SARA GRANOFF-SCHOR, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA ROBIN GRANOFF-SCHOR DPM (DOCTOR)
(401) 944-4770
Entity
Organization
Contact information
Practice address
960 RESERVOIR AVE, SUITE 11, CRANSTON, RI 02910-4446
(401) 944-4770
(401) 944-4771
Mailing address
960 RESERVOIR AVE, SUITE 11, CRANSTON, RI 02910-4446
(401) 944-4770
(401) 944-4771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DPM00226
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00257
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000257
TUFTS
RI
01
—
004590
BLUE CHIP
RI
01
—
0137578005
CIGNA
RI
01
—
1942351507
NPI
RI
01
—
2262449
AETNA
RI
01
—
27-00172
UNITED HEALTHCARE
RI
01
—
33398
PILGRIM
RI
01
—
480026885
RAILROAD MEDICARE
RI
01
—
70010000ZBC069
BLUE CROSS MASSACHUSETTS
RI
01
—
7064-4
BLUE CROSS
RI
01
—
DPM00257
RI LICENSE
RI
05
—
SG07157
—
RI
Enumeration date
01/12/2007
Last updated
03/07/2023
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