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Organization
SUSHIL K MEHANDRU MD PA
Active
Organization
SUSHIL K MEHANDRU MD PA
Active
Other names
skmehandrumdpa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL K MEHANDRU MD (MD PRESSIDENT)
(732) 974-0100
Entity
Organization
Contact information
Practice address
1925 HWY 35, WALL TOWNSHIP, NJ 07719-3512
(732) 974-0100
(732) 974-0137
Mailing address
1925 HWY 35, WALL TOWNSHIP, NJ 07719-3512
(732) 974-0100
(732) 974-0137
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA034596
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2634201
—
NJ
Enumeration date
09/12/2007
Last updated
09/22/2008
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