Individual
SANDRA R. CERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
670 ALBANY ST, FLOOR 3, ROOM 310, BOSTON, MA 02118-2646
(617) 414-5314
(617) 414-5315
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
211204
MA
207ZP0101X
Anatomic Pathology Physician
211204
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
211204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110007542A
—
MA
Enumeration date
02/08/2006
Last updated
09/28/2017
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