Individual
ANIL SANGWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
(631) 473-4427
Mailing address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
(631) 473-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214406
NY
Other
Enumeration date
08/17/2006
Last updated
10/26/2010
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