Organization
GURSEWAK S. SANDHU, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURSEWAK S SANDHU M.D. (OWNER)
(508) 947-4634
Entity
Organization
Contact information
Practice address
511 W GROVE ST, SUITE 301, MIDDLEBORO, MA 02346-1458
(508) 947-4634
(508) 947-0635
Mailing address
511 W GROVE ST, SUITE 301, MIDDLEBORO, MA 02346-1458
(508) 947-4634
(508) 947-0635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44829
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109568
—
MA
05
—
9722203
—
MA
01
—
GUM13473
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/11/2007
Last updated
10/16/2007
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