Individual
DR. SANDY SHARON TSAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STANIFORD ST, DERMATOLOGY GROUP STE 250, BOSTON, MA 02114-3130
(617) 724-6960
(617) 724-6970
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6960
(617) 724-6970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
156422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3186211
—
MA
01
—
790511
TUFTS HEALTH PLAN
MA
01
—
J19138
BCBS MA
MA
Enumeration date
03/15/2006
Last updated
11/05/2012
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