Individual
DR. SANJAY LALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3024
(973) 324-9455
(973) 324-9454
Mailing address
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3024
(973) 324-9455
(973) 324-9454
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MA58573
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7222904
—
NJ
Enumeration date
04/05/2006
Last updated
03/03/2008
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