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NPI Code Detail

MEDICARE: KRISTEN SANDEL M.D.

MEDICARE: KRISTEN SANDEL M.D.
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
1207P00000XEmergency Medicine PhysicianMD426710PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871590620
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SANDEL M.D.
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 169 MARTIN AVE
Second Line :
City : EPHRATA
State : PA
Zip : 17522-1734
Country : US
Telephone Number : 717-738-6420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/28/2024

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