Provider Demographics
NPI:1942423462
Name:KNOLL, SANDRA L (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:KNOLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 GRANDVIEW AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1708
Mailing Address - Country:US
Mailing Address - Phone:717-432-2411
Mailing Address - Fax:717-432-1409
Practice Address - Street 1:126 W CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1280
Practice Address - Country:US
Practice Address - Phone:717-432-2411
Practice Address - Fax:717-432-1409
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine