Doctor Name: | CHANTEL NICOLE SANFORD |
NPI Number: | 1063736569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | SC006080 |
Business Practice Address: | 20 Caerleon Ct Pikesville, MD - 212083347 |
Business Phone Number: | 3027658566 |
Business Fax Number: | 4105045104 |
Mailing Address: | 20 Caerleon Ct, PIKESVILLE |
State: | MD |
Postal Code: | 212083347 |
Phone Number: | 3027658566 |
Fax Number: | 4105045104 |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC006080 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |