Provider Demographics
NPI:1750362059
Name:SANDLER, LESLIE R (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:R
Last Name:SANDLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:460 TOTTEN POND RD
Mailing Address - Street 2:C O MZI
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1906
Mailing Address - Country:US
Mailing Address - Phone:781-890-9933
Mailing Address - Fax:781-890-9950
Practice Address - Street 1:88 WASHINGTON ST
Practice Address - Street 2:ATTN EMERGENCY DEPT
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-828-7108
Practice Address - Fax:508-828-7158
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA46449207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3086747Medicaid
MA775466OtherTUFTS
MA437725OtherHPHC
MAJ11924OtherBCBS
MA437725OtherHPHC
MA775466OtherTUFTS