Individual
DR. SANDARSH RAJ KANCHERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 GRAND AVE, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Mailing address
420 GRAND AVE, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT188777
PA
207RG0100X
Gastroenterology Physician
252443
NY
207RG0100X
Gastroenterology Physician
Primary
25MA09096400
NJ
Other
Enumeration date
10/31/2007
Last updated
05/21/2015
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