Sandler, Jeffrey David

Sandler, Jeffrey David is an sole proprietor health care provider with primary practice located at 2233 Cecil B Moore Ave , Philadelphia PA 19121-4025. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Sandler, Jeffrey David can be contacted via phone (215) 765-0873.

Contact Information

Primary practice address
2233 Cecil B Moore Ave Philadelphia PA 19121-4025
Phone: (215) 765-0873
Fax: (610) 446-6543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-002493-L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC-002493-L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X SC-002493-L Pennsylvania

Profile Details

NPI number 1578503553
LBN Legal business name Sandler, Jeffrey David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 18th, 2013 - about 13 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 1578503553 NPPES
Pennsylvania Other 00431158 BLUE SHIELD ID
Pennsylvania Other 0060805000 BLUE SHIELD ID
Pennsylvania MEDICAID 0000902603001 BLUE SHIELD ID

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