MEDICARE: SANDRA BIRNBAUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD464928	PA

General Provider Information

NPI Number	:	1013327915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA BIRNBAUM

Provider Business Mailing Address
First Line	:	1251 TURNSTONE DR STE 230
Second Line	:
City	:	FOGELSVILLE
State	:	PA
Zip	:	18051-1713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1251 TURNSTONE DR STE 230
Second Line	:
City	:	FOGELSVILLE
State	:	PA
Zip	:	18051-1713
Country	:	US
Telephone Number	:	484-822-5154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	11/24/2025

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Directions to “ SANDRA BIRNBAUM ” Practice Location

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