Individual
DR. STUART H SANDREW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
435 SOUTH STREET, PITTSFIELD, MA 01201
(413) 445-4592
Mailing address
435 SOUTH STREET, PITTSFIELD, MA 01201
(413) 445-4592
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11861
BLUE CROSS BS
MA
Enumeration date
02/08/2006
Last updated
07/08/2007
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