Individual
DR. SANDRA M. CIFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7008 AUGUSTA NATIONAL, FAYETTEVILLE, PA 17222-9418
(301) 730-4212
Mailing address
7008 AUGUSTA NATIONAL, FAYETTEVILLE, PA 17222-9418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H39929
MD
207L00000X
Anesthesiology Physician
Primary
OS007769L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS007769L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274270 0001
—
PA
01
—
050514
MEDICARE GROUP #
PA
01
—
120420418
DEPT OF LABOR
PA
01
—
1569288
GATEWAY
PA
01
—
1811238
AETNA HMO
PA
01
—
2183091
MAMSI
PA
01
—
231587
UNISON
PA
01
—
25-1716306
SOUTH CENTRAL PREFERRED
PA
01
—
4521705
AETNA NON-HMO
PA
01
—
50074331
CAPITAL BLUECROSS
PA
01
—
CI2004294
HIGHMARK BLUE SHIELD
PA
01
—
G920-0076/85XWCU
CAREFIRST
PA
01
—
OS007769L
LICENSE
PA
01
—
P00458414
RAILROAD MEDICARE
PA
01
—
PEARL
HEALTH AMERICA
PA
Enumeration date
09/15/2005
Last updated
01/22/2024
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