Organization
SANJAY OM TEWARI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY OM TEWARI MD (OWNER)
(646) 468-4563
Entity
Organization
Contact information
Practice address
3632 NOSTRAND AVE, BROOKLYN, NY 11229-5305
(718) 332-4409
(718) 332-4472
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2030
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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