Individual
MICHAEL R SANDFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5130
(508) 973-5135
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
58007
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
58007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021262
BMC
—
01
—
000334
SWH
—
01
—
0027845
NHP
—
01
—
020013712
RAILROAD MED
—
01
—
058007
TUFTS
—
01
—
1202178003
CIGNA FOR REFERRALS
—
01
—
1401000
UHC
—
01
—
201129
BLUE CHIP
—
05
—
3020860
—
MA
01
—
3428634
AETNA
—
01
—
8226
HPHC
—
01
—
B20915202
CIGNA
MA
01
—
J06317
BLUE CROSS BLUE SHIELD
MA
01
—
J06317
MASS BS
—
05
—
MS07821
—
RI
Enumeration date
06/29/2006
Last updated
04/27/2020
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