Individual
JASVENDAR SINGH NANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 OLD BROOKSIDE RD, RANDOLPH, NJ 07869-3617
(973) 895-4000
(973) 895-3310
Mailing address
PO BOX 95000, LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA1005440
NJ
207Q00000X
Family Medicine Physician
25MA10054400
NJ
207Q00000X
Family Medicine Physician
85696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569739
—
NJ
Enumeration date
10/03/2007
Last updated
08/05/2025
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