Provider Demographics
NPI:1871727206
Name:HALLOR, SARA ELISABETH
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELISABETH
Last Name:HALLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHOATE RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3716
Mailing Address - Country:US
Mailing Address - Phone:781-771-1478
Mailing Address - Fax:
Practice Address - Street 1:8 CHOATE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3716
Practice Address - Country:US
Practice Address - Phone:781-771-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist