Individual
GUSTAVO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 KUSER RD, HAMILTON, NJ 08691-3302
(609) 585-8800
(609) 585-1825
Mailing address
3625 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1207
(609) 689-1600
(609) 689-1200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MA06064900
NJ
2085R0202X
Diagnostic Radiology Physician
MD052378-L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MA06064900
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD052378-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536266
—
PA
05
—
7345402
—
NJ
Enumeration date
06/22/2005
Last updated
08/24/2012
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