Looby-Gordon, Sandra S.

Looby-Gordon, Sandra S. is an individual health care provider with primary practice located at 801 Massachusetts Ave, Suite 6C Crosstown Bldg, Boston MA 02118-2605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Looby-Gordon, Sandra S. can be contacted via phone (617) 414-5951.

Contact Information

Primary practice address
801 Massachusetts Ave, Suite 6C Crosstown Bldg Boston MA 02118-2605
Phone: (617) 414-5951
Fax: (617) 414-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72762 Massachusetts

Profile Details

NPI number 1972549343
LBN Legal business name Looby-Gordon, Sandra S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972549343 NPPES
Massachusetts MEDICAID 110050735A

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