Individual
VEENA S GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S BURNT MILL RD, VOORHEES, NJ 08043-1107
(586) 428-2522
Mailing address
314 S BURNT MILL RD, VOORHEES, NJ 08043-1107
(586) 428-2522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA26155
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222158290
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
07/04/2006
Last updated
02/05/2009
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