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Individual

DR. SANDIP T MARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 HOSPITAL DR STE 2013, HOLYOKE, MA 01040
(413) 535-4785
(413) 535-4786
Mailing address
2 HOSPITAL DR STE 2013, HOLYOKE, MA 01040-6632
(413) 535-4785
(413) 535-4786

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
049897
CT
2086S0129X
Vascular Surgery Physician
2491431
NY
2086S0129X
Vascular Surgery Physician
258011
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049897
CONNECTICARE
CT
01
2867521
CIGNA
CT
01
9120177
AETNA
CT
Enumeration date
07/21/2008
Last updated
09/21/2018
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