Active NPIIndividual provider

Debra A Disandro, MD

Obstetrics & Gynecology, Obstetrics in Springfield, Massachusetts

NPI Number1043219397
Practice location
3550 Main St Ste 302, Springfield, MA 01107-1088
Fax
413-737-8540
Last updated
March 7, 2019

Debra A. Disandro is an Obstetrics & Gynecology, Obstetrics based in Springfield, MA. 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 (MA). The current practice location address for Debra A. Disandro is 3550 Main St Ste 302, Springfield, MA 01107-1088 and can be reached out via phone at 413-781-8290 and via fax at 413-737-8540.

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
Primary Taxonomy
Obstetrics & Gynecology, Obstetrics · 207VX0000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2005
Last Update Date
March 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3550 Main St Ste 302
Springfield, MA 01107-1088
Zip
01107-1088
Phone Number
413-781-8290
Fax Number
413-737-8540
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
3550 Main St Ste 302
Springfield, MA 01107-1088
City
Springfield
State
MA
Zip
01107-1088
Phone Number
413-781-8290
Fax Number
413-732-7628

License Information

License Number
52978
License State
MA
Taxonomy
Obstetrics & Gynecology, Obstetrics · 207VX0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Debra A Disandro, MD?

The NPI number of Debra A Disandro, MD is 1043219397. It was assigned on July 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Debra A Disandro, MD?

Debra A Disandro, MD is registered under the primary taxonomy Obstetrics & Gynecology, Obstetrics (code 207VX0000X), licensed in MA under license number 52978.

Where does Debra A Disandro, MD practice?

The practice location is 3550 Main St Ste 302, Springfield, MA 01107-1088. The office can be reached at 413-781-8290 (phone) or 413-737-8540 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043219397 directly on the NPPES registry website.

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