Organization
SANDRA VAUSE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA VAUSE M.D. (OWNER)
(856) 678-9600
Entity
Organization
Contact information
Practice address
545 BECKETT RD STE 210, PURELAND COMMONS, LOGAN TOWNSHIP, NJ 08085-1547
(856) 241-3311
(856) 241-3969
Mailing address
545 BECKETT RD STE 210, PURELAND COMMONS, LOGAN TOWNSHIP, NJ 08085-1547
(856) 241-3311
(856) 241-3969
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MP00136500
NJ
207N00000X
Dermatology Physician
Primary
MA059140
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
MA059140
NJ
Other
Enumeration date
11/15/2006
Last updated
05/19/2010
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