Suduikis, Sandra Veronica
Suduikis, Sandra Veronica is an individual health care provider with primary practice located at 1575 Cambridge St , Cambridge MA 02138-4308. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Suduikis, Sandra Veronica can be contacted via phone (617) 876-4344.Contact Information
Primary practice address
1575 Cambridge St
Cambridge MA 02138-4308
Phone: (617) 876-4344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA76458 | Massachusetts |
Profile Details
| NPI number | 1407896160 |
|---|---|
| LBN Legal business name | Suduikis, Sandra Veronica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407896160 | NPPES |
| Massachusetts | Other | 725372 | TUFTS |
| Massachusetts | Other | 133800 | TUFTS |
| Massachusetts | Other | J12920 | TUFTS |
| Massachusetts | Other | S022064 | TUFTS |
| Massachusetts | MEDICAID | 3097501 | TUFTS |
| Massachusetts | Other | 022064 | TUFTS |
| Massachusetts | Other | 80137 | TUFTS |
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