Individual
DR. ALFRED W SANDROCK JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
15 PARKMAN ST, WAC 835 NEUROLOGY ASSOCIATES, BOSTON, MA 02114-3117
(617) 724-3914
(617) 726-6991
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
72479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072479
TUFTS HEALTH PLAN
MA
05
—
3114091
—
MA
01
—
J30093
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
07/08/2007
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