Individual
SANDRA MARY DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, MACHT 317B, CAMBRIDGE, MA 02139-1047
(617) 665-1297
Mailing address
66 TAYLOR ST, NEEDHAM, MA 02494-1830
(781) 449-7664
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
154006
MA
Other
Enumeration date
06/04/2006
Last updated
11/22/2011
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