| Doctor Name: | FRANK THEODORE SANDSORUM |
| NPI Number: | 1003882556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD012726E |
| Business Practice Address: | 2300 Computer Rd Ste E25 Willow Grove, PA - 19090 |
| Business Phone Number: | 2156598080 |
| Business Fax Number: | 2156590977 |
| Mailing Address: | 2300 Computer Rd, Ste E25 WILLOW GROVE |
| State: | PA |
| Postal Code: | 19090 |
| Phone Number: | 2156598080 |
| Fax Number: | 2156590977 |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD012726E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |