MEDICARE: DR. JOHN P SANDY

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	104100000X	Social Worker	G08619	MD

General Provider Information

NPI Number	:	1114233251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P SANDY

Provider Business Mailing Address
First Line	:	4821 COLORADO AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-3731
Country	:	US
Telephone Number	:	610-529-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 MERCANTILE LN STE 232
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5353
Country	:	US
Telephone Number	:	301-583-0001
Fax Number	:

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

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

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Directions to “ DR. JOHN P SANDY ” Practice Location

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