Provider Demographics
NPI:1447231485
Name:NUCIFORO, SARA J (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:J
Last Name:NUCIFORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-871-2940
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-871-2940
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA77913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherGIC UNICARE
MA042297845OtherGREAT WEST HEALTH CARE
MA0002160OtherNEIGHBORHOOD HLTH PLAN
MA042297845OtherTRICARE
MA042297845OtherUNITED HEALTH CARE
MA077913OtherTUFTS
MA3379338OtherCIGNA
MA3944267OtherAETNA
MA41216OtherFALLON
MA042297845OtherDOC FIRST
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA3110028Medicaid
MAAA30935OtherHVD PILGRIM HEALTH CARE
MA042297845OtherHCVM
MAJ13923OtherBCBS
MA042297845OtherUNITED HEALTH CARE
MAF61380Medicare UPIN