Individual
DR. SANJAY M GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 344-3517
(570) 344-6839
Mailing address
PO BOX 31, 959 WYOMING AVE., SCRANTON, PA 18501-0031
(570) 344-3517
(570) 344-6839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD064359L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014179740001
—
PA
Enumeration date
12/16/2005
Last updated
08/22/2011
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