Provider Demographics
NPI:1023152717
Name:RICHMAN, SANDRA R (MD)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:R
Last Name:RICHMAN
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 1:150 SAINT PAUL ST APT 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5250
Mailing Address - Country:US
Mailing Address - Phone:617-277-5302
Mailing Address - Fax:
Practice Address - Street 1:150 SAINT PAUL ST APT 301
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5250
Practice Address - Country:US
Practice Address - Phone:617-277-5302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine