Individual
DR. THOMAS J SANDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-3858
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
205201
MA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
205201
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040450
—
MA
Enumeration date
09/26/2006
Last updated
08/05/2016
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