Individual
DR. ANDREI BANDARCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 SAYLES ST, SOUTHBRIDGE, MA 01550-1729
(508) 764-2400
(508) 909-7770
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275825
NY
207RH0003X
Hematology & Oncology Physician
Primary
277056
MA
207RH0003X
Hematology & Oncology Physician
81532
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277056
MEDICAL LICNESE
MA
Enumeration date
07/02/2014
Last updated
10/09/2025
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