Sweetnam, Sandra Margaret

Sweetnam, Sandra Margaret is an individual health care provider with primary practice located at 300 Ocean Ave Rhc Revere Healthcare Center, Revere MA 02151-3675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sweetnam, Sandra Margaret can be contacted via phone (781) 485-6316.

Contact Information

Primary practice address
300 Ocean Ave Rhc Revere Healthcare Center Revere MA 02151-3675
Phone: (781) 485-6316
Fax: (781) 485-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54399 Massachusetts

Profile Details

NPI number 1457341000
LBN Legal business name Sweetnam, Sandra Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 18th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457341000 NPPES
Massachusetts Other J05189 BCBS MA
Massachusetts Other 054399 BCBS MA
Massachusetts MEDICAID 3002811 BCBS MA

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