Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 44829 | MA |
NPI | 1033102025 |
---|---|
Provider Name | Dr. Gursewak S. Sandhu |
First Address | Middleboro, MA 02346-1458 |
Second Address | Middleboro, MA 02346-1458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 27/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17020 | HARVARD PILGRIM HEALTH (01) | MA |
705531 | TUFTS HEALTH CARE (01) | MA |
9722203 | (05) | MA |
B99032 | (02) | |
N01872 | BLUE CROSS BLUE SHIELD (01) | MA |