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NPI Code Detail

MEDICARE: DR. SANDRA M. CIFOR DO

MEDICARE:  DR. SANDRA M. CIFOR  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
1207L00000XAnesthesiology PhysicianH39929MD
2207LP2900XPain Medicine (Anesthesiology) PhysicianOS007769LPA
3207L00000XAnesthesiology PhysicianOS007769LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00458414OTHERPARAILROAD MEDICARE
13050514OTHERPAMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125-1716306OTHERPASOUTH CENTRAL PREFERRED
225-1716306OTHERPAHEALTHNET/TRICARE
31569288OTHERPAGATEWAY
52183091OTHERPAMAMSI
625-1716306OTHERPAINFORMED
750074331OTHERPACAPITAL BLUECROSS
81811238OTHERPAAETNA HMO
925-1716306OTHERPAMULTIPLAN/PHCS
1025-1716306OTHERPAINTERGROUP
11G920-0076/85XWCUOTHERPACAREFIRST
12PEARLOTHERPAHEALTH AMERICA
14CI2004294OTHERPAHIGHMARK BLUE SHIELD
15OS007769LOTHERPALICENSE
16MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17120420418OTHERPADEPT OF LABOR
18231587OTHERPAUNISON
1925-1716306OTHERPADEVON
204521705OTHERPAAETNA NON-HMO

General Provider Information

NPI Number : 1699760637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA M. CIFOR DO
Provider Business Mailing Address
First Line : 7008 AUGUSTA NATIONAL
Second Line :
City : FAYETTEVILLE
State : PA
Zip : 17222-9418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7008 AUGUSTA NATIONAL
Second Line :
City : FAYETTEVILLE
State : PA
Zip : 17222-9418
Country : US
Telephone Number : 301-730-4212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 01/22/2024

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Directions to “ DR. SANDRA M. CIFOR DO” Practice Location

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