Individual
SANFORD HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 348-7100
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD021902E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009738570010
—
PA
05
—
0973857
—
PA
01
—
P00141017
RR MEDICARE
PA
Enumeration date
11/21/2005
Last updated
03/18/2015
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