Provider Demographics
NPI:1033423595
Name:REICH, SANFORD MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:MARTIN
Last Name:REICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10478 OLDE VILLA DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7463
Mailing Address - Country:US
Mailing Address - Phone:724-444-6034
Mailing Address - Fax:
Practice Address - Street 1:10478 OLDE VILLA DR
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-7463
Practice Address - Country:US
Practice Address - Phone:724-444-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057186L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease