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Organization

THE ENDOCRINE DOCTOR INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONOO ADVANI M.D. (PRESIDENT)
(973) 992-1118
Entity
Organization

Contact information

Practice address
315 E NORTHFIELD RD, SUITE 1C, LIVINGSTON, NJ 07039-4896
(973) 992-1118
(973) 992-3050
Mailing address
315 E NORTHFIELD RD, SUITE 1C, LIVINGSTON, NJ 07039-4896
(973) 992-1118
(973) 992-3050

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA068064
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090182
MEDICARE PTAN
NJ
01
DD8573
MEDICARE RAILROAD
NJ
Enumeration date
06/21/2007
Last updated
05/02/2013
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