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Individual
DR. SANDRA S. LOOBY-GORDON
Active
Individual
DR. SANDRA S. LOOBY-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72762
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
72762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110050735A
—
MA
Enumeration date
06/22/2006
Last updated
11/30/2023
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