# DAN V SANDRU MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctor's Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962921841
- **Authorized official:** DR. DAN VICTOR SANDRU MD (PHYSICIAN)
- **Authorized official phone:** (908) 330-7463

## Contact information

- **Practice address:** 389 N COUNTY LINE RD, JACKSON, NJ 08527-4426
- **Practice address phone:** (908) 330-7463
- **Mailing address:** 511 HARTSHORNE CT, FREEHOLD, NJ 07728-8214
- **Mailing address phone:** (908) 330-7463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00741600 | NJ | Yes |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 09/12/2017