Provider Demographics
NPI:1376764589
Name:SANDLER, DAVID (LPN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SANDLER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7764 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2612
Mailing Address - Country:US
Mailing Address - Phone:215-635-4079
Mailing Address - Fax:215-780-1819
Practice Address - Street 1:7764 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2612
Practice Address - Country:US
Practice Address - Phone:215-635-4079
Practice Address - Fax:215-780-1819
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN252304L164W00000X
NJ26NP05647100164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse