Provider Demographics
NPI:1386694453
Name:SANDIN, ANN MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARGARET
Last Name:SANDIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-0419
Mailing Address - Country:US
Mailing Address - Phone:978-658-5577
Mailing Address - Fax:978-658-5587
Practice Address - Street 1:725 CONCORD AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1040
Practice Address - Country:US
Practice Address - Phone:617-661-4600
Practice Address - Fax:617-547-9170
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA157030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0129968Medicaid
MA408208OtherTUFTS
MAJ22585OtherBCBS
MA69661OtherHPHC
MAA32173Medicare ID - Type Unspecified
MA0129968Medicaid