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Individual
JEFFREY DAVID SANDLER
Active
Individual
JEFFREY DAVID SANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-002493-L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC-002493-L
PA
213ES0000X
Sports Medicine Podiatrist
SC-002493-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000902603001
—
PA
01
—
00431158
BLUE SHIELD ID
PA
01
—
0060805000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/07/2006
Last updated
10/18/2013
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