Basic Information
Provider Information
NPI: 1689144214
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRAJEWSKI
FirstName: SARAH
MiddleName: BETH
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
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Mailing Information
Address1: 2395 BAY ROAD
Address2:  
City: SHARON
State: MA
PostalCode: 02067
CountryCode: US
TelephoneNumber: 4017425258
FaxNumber:  
Practice Location
Address1: 31 ROCHE BROTHERS WAY
Address2:  
City: NORTH EASTON
State: MA
PostalCode: 02356
CountryCode: US
TelephoneNumber: 5088948730
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/27/2018
LastUpdateDate: 01/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XRN278160MAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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