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NPI Code Detail

MEDICARE: ANDREW SANDEFER DO

MEDICARE: ANDREW SANDEFER DO
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
1207R00000XInternal Medicine Physician276680MA
2208100000XPhysical Medicine & Rehabilitation PhysicianDO01151RI

General Provider Information

NPI Number : 1366726804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SANDEFER DO
Provider Business Mailing Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-273-0641
Fax Number :
Provider Business Practice Location Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 17-377-0104
Fax Number : 401-736-4546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 02/03/2026

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