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Individual

SANDRA H MALTZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
340 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 943-5132
(508) 943-5209
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 909-7750

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226285
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
TRICARE CHAMPUS
01
0706434
MEDICAID/WELFARE
05
0706434
MA
01
4143933
MVP HEALTH CARE
01
8302745
EVERCARE
01
92685
FALLON COMMUNITY HLTH PLN
01
AA38452
HARVARD PILGRIM HEALTHCRE
01
NP5067
MEDICARE B
Enumeration date
02/16/2006
Last updated
01/30/2019
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