Organization
SANDWICH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE SARAH KOENIG MD (OWNER)
(508) 888-8430
Entity
Organization
Contact information
Practice address
449 ROUTE 130, SANDWICH, MA 02563-2339
(508) 888-8430
(508) 888-6673
Mailing address
449 ROUTE 130, SANDWICH, MA 02563-2339
(508) 888-8430
(508) 888-6673
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
50001
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9766006
—
MA
01
—
SAM15113
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/14/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us