Individual
RALPH S SANDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CHURCH RD, ARDMORE, PA 19003-2316
(610) 649-7616
(610) 649-6146
Mailing address
100 CHURCH RD, ARDMORE, PA 19003-2316
(610) 649-7616
(610) 649-6146
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-072773L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048653
BLUE CROSS
OR
01
—
2011356000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/07/2006
Last updated
09/18/2012
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