Individual
SANJAY OM TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, 3RD FLOOR-CARDIAC ANESTHESIOLOGY, FLUSHING, NY 11355-5045
(718) 670-1080
(718) 670-2597
Mailing address
9 FRIENDLY RD, HICKSVILLE, NY 11801-6311
(212) 731-2154
(718) 670-2597
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
230982
NY
207L00000X
Anesthesiology Physician
Primary
25MA07926500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071676
—
NJ
Enumeration date
11/21/2005
Last updated
08/22/2016
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