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Individual

DR. SANJAY PANKAJ GANDHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
215 GORDONS CORNER RD, SUITE 2A, MANALAPAN, NJ 07726-3351
(732) 446-7136
(732) 446-7138
Mailing address
215 GORDONS CORNER RD, SUITE 2A, MANALAPAN, NJ 07726-3351
(732) 446-7136
(732) 446-7138

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00275700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N005953
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052779
NJ
Enumeration date
06/15/2005
Last updated
04/10/2009
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