Individual
SARA K MEIBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
228923
MA
207UN0901X
Nuclear Cardiology Physician
228923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075268A
—
MA
05
—
1134166945
—
ME
05
—
3080695
—
NH
Enumeration date
10/26/2006
Last updated
03/09/2026
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