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SANDRA R. CERDA MD.

Physicians Pathology Cytopathology

Provider NPI: 1306819719

Provider Information:
 SANDRA R. CERDA MD.
Gender: F
Not Sole Proprietor

Practice Location:
670 ALBANY ST FLOOR 3, ROOM 310 BOSTON, MA 02118-2646 US
Tel: 617-414-5314  Fax: 617-414-5315

Business Mailing Address:
720 HARRISON AVE DOB 503 BOSTON, MA 02118 US
Tel: --  Fax: --

NPI Information:
NPI: 1306819719
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZC0500XPhysicians
Pathology
Cytopathology
MA211204
N207ZP0101XPhysicians
Pathology
MA211204
Y207ZP0102XPhysicians
Pathology
MA211204

Other Provider Identifiers:

IssuerNumberStateType
110007542AMA05



American Medical Association 2012 taxonomy code information

Code: 207ZP0102X

Type:

Classification:



Definition:



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