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Individual
DEBRA A. DISANDRO
Active
Individual
DEBRA A. DISANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
52978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006311
BMC HEALTHNET
MA
01
—
0010789
NEIGHBORHOOD HEALTH
MA
01
—
037323836
TRICARE
MA
01
—
07-04622
UNITED HEALTHCARE
MA
01
—
11833
HEALTH NEW ENGLAND
MA
01
—
130705
PILGRIM
MA
01
—
160039235
RR MEDICARE
MA
05
—
3017699
—
MA
01
—
484978
CONNECTICARE
MA
01
—
717957
TUFTS
MA
01
—
782507
US HEALTHCARE
MA
01
—
DIJ06185
BLUE SHIELD OF MASS
MA
Enumeration date
07/19/2005
Last updated
03/07/2019
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