Provider Demographics
NPI:1619949567
Name:SANCHEZ, CYNTHIA ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ROSE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:ROSE
Other - Last Name:SONNENFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3115 EDEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-1417
Mailing Address - Country:US
Mailing Address - Phone:910-353-9429
Mailing Address - Fax:910-450-0914
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:CAMP JOHNSON BRANCH MEDICAL CLINIC M-128
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-0836
Practice Address - Fax:910-450-0914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice