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Individual

DR. SANJAY K JAIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PANTHER VALLEY MALL, BLDG B, ROUTE 517, HACKETTSTOWN, NJ 07840
(908) 852-0107
(908) 850-9160
Mailing address
PANTHER VALLEY MALL, BLDG B, ROUTE 517, HACKETTSTOWN, NJ 07840
(908) 852-0107
(908) 850-9160

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA42351
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00918130
NY
05
1975102
NJ
01
1K1812
COMMERCIAL
Enumeration date
06/13/2006
Last updated
07/08/2007
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