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Organization

MARIE SANGOSSE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE SANGOSSE MD (PRESIDENT)
(973) 731-0200
Entity
Organization

Contact information

Practice address
745 NORTHFIELD AVE, SUITE #7, WEST ORANGE, NJ 07052-1144
(973) 731-0200
(973) 325-2244
Mailing address
745 NORTHFIELD AVE, SUITE #7, WEST ORANGE, NJ 07052-1144
(973) 731-0200
(973) 325-2244

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04902900
NJ
207RH0003X
Hematology & Oncology Physician
25MA04902900
NJ

Other

Enumeration date
02/14/2013
Last updated
02/14/2013
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