Provider Demographics
NPI:1679672711
Name:SANDLER, DANIEL LEONARD
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEONARD
Last Name:SANDLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVENUE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404
Mailing Address - Country:US
Mailing Address - Phone:912-350-5915
Mailing Address - Fax:912-350-5930
Practice Address - Street 1:4750 WATERS AVENUE
Practice Address - Street 2:SUITE 206
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404
Practice Address - Country:US
Practice Address - Phone:912-350-5915
Practice Address - Fax:912-350-5930
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0424202080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine