| Organization Name: | SAGE INTEGRATIVE MEDICINE PLLC |
| NPI Number: | 1922408608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARNEY D ROEMMELT (OWNER) |
| Mailing Address: | 157 Portsmouth Ave Unit 13 Stratham |
| State: | NH US |
| Postal Code: | 038852477 |
| Phone Number: | 6035834780 |
| Fax Number: | 6038210273 |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 11640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |