Provider Demographics
NPI:1467518555
Name:MASTERS, SANDRA (DC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:MASTERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 WORCESTER ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-3702
Mailing Address - Country:US
Mailing Address - Phone:781-237-4441
Mailing Address - Fax:
Practice Address - Street 1:889 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-3702
Practice Address - Country:US
Practice Address - Phone:781-237-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-31
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA709193OtherTUFTS
MAY35795OtherBCBSMA
MAT58388Medicare PIN