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Individual

ANISA GANDHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
530 GREEN ST, ISELIN, NJ 08830-2638
(732) 283-1900
(908) 903-1672
Mailing address
20 THISTLE LN, WARREN, NJ 07059-5564
(908) 903-1670
(908) 903-1672

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
891961
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2422074
UNITED HEALTHCARE
NJ
01
7654551
AETNA
NJ
01
P3619859
OXFORD
NJ
Enumeration date
01/02/2007
Last updated
07/08/2007
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