Individual
ROY LEE SANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2201 CHAPEL AVE W, STE 100, CHERRY HILL, NJ 08002-2048
(856) 665-2017
(856) 488-6769
Mailing address
2201 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2048
(856) 669-6061
(856) 665-8053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB08471200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199125
—
NJ
Enumeration date
07/23/2007
Last updated
12/29/2015
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