Sandora, Thomas J

Sandora, Thomas J is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Sandora, Thomas J can be contacted via phone (617) 355-3858.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-3858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205201 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 205201 Massachusetts

Profile Details

NPI number 1720189541
LBN Legal business name Sandora, Thomas J
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 5th, 2016 - about 9 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 1720189541 NPPES
Massachusetts MEDICAID 2040450

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