Individual
DR. HEENA PANDYA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 HAZLET AVE, SUITE 11, HAZLET, NJ 07730-1623
(732) 888-8255
(732) 888-7682
Mailing address
80 HAZLET AVE, SUITE 11, HAZLET, NJ 07730-1623
(732) 888-8255
(732) 888-7682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07619000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045080
—
NJ
Enumeration date
06/16/2006
Last updated
07/08/2007
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