Provider Demographics
NPI:1093785131
Name:SANDSTROM, MARY MCHALE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:MCHALE
Last Name:SANDSTROM
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL CRYOGENETICS PATH AMORY 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-7981
Mailing Address - Fax:617-975-0945
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL CRYOGENETICS PATH AMORY 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-7981
Practice Address - Fax:617-975-0945
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)