Individual
MATTHEW SANIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT STREET, GRAY-BIGELOW 444, BOSTON, MA 02114
(617) 726-3030
Mailing address
7917 WILLFIELD CT, FAIRFAX STATION, VA 22039-3181
(703) 599-1186
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101269068
VA
207L00000X
Anesthesiology Physician
270190
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
05/13/2020
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