Individual
DIANA SANDMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8556 BUSTLETON AVE, PHILADELPHIA, PA 19152-1218
(215) 698-9200
(215) 698-0816
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 698-9200
(215) 456-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD481695
PA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/25/2020
Last updated
08/21/2024
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