Provider Demographics
NPI:1457398232
Name:SANCHEZ, VIVIAN M (MD)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 VFW PARKWAY S112
Mailing Address - Street 2:VA BOSTON HEALTHCARE SYSTEM
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-2401
Mailing Address - Country:US
Mailing Address - Phone:857-203-6200
Mailing Address - Fax:
Practice Address - Street 1:1400 VFW PKWY # S112
Practice Address - Street 2:VA BOSTON HEALTHCARE SYSTEM
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:857-203-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2009-10-05
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Provider Licenses
StateLicense IDTaxonomies
MA218801208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery