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Organization
O E SANDOVAL MD PC
Active
Organization
O E SANDOVAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR E SANDOVAL MD (DIRECTOR)
(201) 866-9670
Entity
Organization
Contact information
Practice address
569 35TH ST, UNION CITY, NJ 07087-2563
(201) 866-6970
(201) 866-7144
Mailing address
569 35TH ST, UNION CITY, NJ 07087-2563
(201) 866-6970
(201) 866-7144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA045843
LICENSE
NJ
05
—
3585905
—
NJ
Enumeration date
04/15/2016
Last updated
04/15/2016
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