Individual
JINESH GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Mailing address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01903400
NJ
225100000X
Physical Therapist
J1-0003161
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01437270
RR MEDICARE
DE
Enumeration date
09/09/2014
Last updated
03/11/2022
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