Individual
DR. SANJAY KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1102 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 213-6375
(856) 575-4986
Mailing address
2848 S DELSEA DR, SUITE 4B, VINELAND, NJ 08360-7042
(856) 205-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08084100
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA08084100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145246
—
NJ
Enumeration date
06/06/2007
Last updated
09/12/2012
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