# JEANNE M SANDELLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689664088
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS010761L | PA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1423217 | BLUE SHIELD | PA |
| 01 | — | 2108952000 | KEYSTONE | PA |
| 01 | — | 2297175 | UNITED HEALTHCARE | PA |
| 01 | — | 3551485 | AETNA | PA |
| 01 | — | 9253000 | CIGNA | PA |
| 01 | — | H23831 | ELDER CARE | PA |
| 01 | — | P00369951 | PALMETTO GBA | PA |