Healthcare Provider Details

I. General information

NPI: 1932145083
Provider Name (Legal Business Name): ROBERT ANDREW SANDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRIGHAM AND WOMEN'S HOSPITAL, 60 FENWOOD ROAD
BOSTON MA
02115
US

IV. Provider business mailing address

375 BOYLSTON ST
BROOKLINE MA
02445-6007
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5325
  • Fax:
Mailing address:
  • Phone: 857-307-0872
  • Fax: 857-307-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number47776
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: