Provider Demographics
NPI:1497250864
Name:SANBORN, CAILEY JEAN (MD)
Entity type:Individual
Prefix:
First Name:CAILEY
Middle Name:JEAN
Last Name:SANBORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAILEY
Other - Middle Name:JEAN
Other - Last Name:GUERCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4815 LIBERTY AVE STE M58
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-246-2452
Mailing Address - Fax:412-246-2489
Practice Address - Street 1:4815 LIBERTY AVE STE M58
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-246-2452
Practice Address - Fax:412-246-2489
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD486440208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology