Individual
DR. PATRICIA CAROL SANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 43RD ST, HEALTH CENTER #3, PHILADELPHIA, PA 19104-4408
(215) 685-7504
(215) 685-7551
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD064688L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01691666
—
PA
01
—
0854786000
IBC PERSONAL CHOICE KHPE
—
Enumeration date
09/26/2006
Last updated
02/18/2015
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