person
Debra A. Disandro, MD
Obstetrics Physician in Springfield, Massachusetts
NPI 1043219397

Debra A. Disandro is a Obstetrics Physician based in Springfield, MA and is specialized in Obstetrics. Debra A. Disandro practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Debra A. Disandro is 1043219397 and holds a License No. 52978 (Massachusetts).

The current practice location address for Debra A. Disandro is 3550 Main St Ste 302, Springfield, MA and can be reached out via phone at 413-781-8290 and via fax at 413-737-8540.

Location: 3550 Main St Ste 302, Springfield, MA, 01107-1088
person
Provider Profile Details
NPI Number
1043219397
Provider Name
Debra A. Disandro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3550 Main St Ste 302, Springfield, MA, 01107-1088
Phone Number
413-781-8290
Fax Number
413-737-8540
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
037323836 01 MA TRICARE
11833 01 MA HEALTH NEW ENGLAND
484978 01 MA CONNECTICARE
DIJ06185 01 MA BLUE SHIELD OF MASS
717957 01 MA TUFTS
130705 01 MA PILGRIM
160039235 01 MA RR MEDICARE
782507 01 MA US HEALTHCARE
0010789 01 MA NEIGHBORHOOD HEALTH
07-04622 01 MA UNITED HEALTHCARE
3017699 05 MA
000006311 01 MA BMC HEALTHNET
institution
Provider Business Practice Location Address Details
Address
3550 Main St Ste 302
City
State
Zip
01107-1088
Phone Number
413-781-8290
Fax Number
413-737-8540
person
Provider Business Mailing Address Details
Address
3550 Main St Ste 302
City
State
Zip
01107-1088
Phone Number
413-781-8290
Fax Number
413-737-8540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
52978 (Massachusetts)
Definition
Definition to come...
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