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Individual

DR. RAMON ANTONIO SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
416 PARK AVE, PATERSON, NJ 07504-1930
(973) 684-8138
(973) 684-0032
Mailing address
416 PARK AVE, PATERSON, NJ 07504-1930
(973) 684-8138
(973) 684-0032

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA058790
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0989806002
AMERIHEALTH
NJ
01
1055488
HORIZON NJ
NJ
01
5304442
AETNA
NJ
05
6051308
NJ
01
P2639548
OXFORD
NJ
Enumeration date
10/04/2006
Last updated
02/08/2011
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