Provider Demographics
NPI:1184658916
Name:SANDROCK, NORMA J (MD)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:J
Last Name:SANDROCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:FELDBERG 407
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3112
Mailing Address - Fax:617-667-7849
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:FELDBERG 407
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3112
Practice Address - Fax:617-667-7849
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA55484207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology