Individual
EDWARD SANDGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
212 STATE ROUTE 94, SUITE 2F, VERNON, NJ 07462
(973) 209-0086
(973) 209-8642
Mailing address
30 LONGVIEW RD, SPARTA, NJ 07871-2031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00778100
NJ
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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