Provider Demographics
NPI:1689776445
Name:SANDSON, NEIL B (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:B
Last Name:SANDSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1210 MAPLE LEAF CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1982
Mailing Address - Country:US
Mailing Address - Phone:410-938-4810
Mailing Address - Fax:410-938-4806
Practice Address - Street 1:6501 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6819
Practice Address - Country:US
Practice Address - Phone:410-938-4810
Practice Address - Fax:410-938-4806
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00451282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG02313Medicare UPIN
MD005MMedicare ID - Type Unspecified