Provider Demographics
NPI:1730401084
Name:SANDERS, STEPHEN P (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BORGO MANDELA, 11
Mailing Address - Street 2:
Mailing Address - City:MANDELA
Mailing Address - State:RM
Mailing Address - Zip Code:00020
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BORGO MANDELA, 11
Practice Address - Street 2:
Practice Address - City:MANDELA
Practice Address - State:RM
Practice Address - Zip Code:00020
Practice Address - Country:IT
Practice Address - Phone:011390774-192-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist