IndividualActive
Clayton Sandiford, MT
NPI 1205101565 · Contractor · Boston, MA
Provider details
- NPI number
- 1205101565
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9751 (MA)
Specialties & taxonomies
Other Service Providers
Practice location
22 Banfield Ave
Boston, MA 02126
Phone: (617) 699-9240
Approximate (ZIP-level) locationGet directions
Mailing address
22 Banfield Ave
Boston, MA 02126-2301
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2012-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.