# JATIN D GANDHI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326365867
- **Authorized official:** DR. JATIN D GANDHI MD (PRESIDENT)
- **Authorized official phone:** (856) 678-7474

## Contact information

- **Practice address:** 390 N BROADWAY, 500, PENNSVILLE, NJ 08070-1253
- **Practice address phone:** (856) 678-7474
- **Practice address fax:** (856) 678-3018
- **Mailing address:** PO BOX 109, SHILOH, NJ 08353-0109
- **Mailing address phone:** (856) 678-7474
- **Mailing address fax:** (856) 678-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/26/2010