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Individual

DR. YASH PAL SANGWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1411 S 14TH ST, STE C, FERNANDINA BEACH, FL 32034-3031
(904) 261-6209
(904) 261-0732
Mailing address
1411 S 14TH ST, STE C, FERNANDINA BEACH, FL 32034-3031
(904) 261-6209
(904) 261-0732

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME78773
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
78773
FL

Other

Enumeration date
10/10/2005
Last updated
06/13/2010
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