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Individual

DANITA YOERGER SANBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST YAW 5, CARDIAC UNIT ASSOCIATES, BOSTON, MA 02114
(617) 726-1543
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 726-1543
(617) 726-7684

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204957
MA
207RC0000X
Cardiovascular Disease Physician
Primary
204957
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171905
MA
01
204957
TUFTS HEALTH PLAN
MA
01
J24904
BCBS OF MA
MA
Enumeration date
11/04/2005
Last updated
04/08/2025
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