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NPI Code Detail

MEDICARE: MISS SANDRA BOEHLERT MD

MEDICARE: MISS SANDRA BOEHLERT MD
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 PhysicianMD11534RI

General Provider Information

NPI Number : 1457343972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SANDRA BOEHLERT MD
Provider Business Mailing Address
First Line : 14789 ROUTE 31
Second Line :
City : ALBION
State : NY
Zip : 14411-9709
Country : US
Telephone Number : 585-589-2273
Fax Number : 585-589-1876
Provider Business Practice Location Address
First Line : 14789 ROUTE 31
Second Line :
City : ALBION
State : NY
Zip : 14411-9709
Country : US
Telephone Number : 585-589-2273
Fax Number : 585-589-1876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 04/29/2021

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Directions to “ MISS SANDRA BOEHLERT MD” Practice Location

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