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Individual

DR. SANGIT BHOOSA MALLIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 COOPER PLZ, C/O RADIOLOGY DEPT, CAMDEN, NJ 08103-1461
(856) 342-2383
(856) 365-0472
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2383
(856) 365-0472

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08390000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3530345000
AMERIHEALTH HMO, KEYSTONE
NJ
01
60042078
HORIZON NJ HEALTH
01
8045784
CIGNA
Enumeration date
04/24/2008
Last updated
09/10/2008
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