Individual
DR. INDU SABNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.P.
Contact information
Practice address
2130 MILLBURN AVE, SUITE C11, MAPLEWOOD, NJ 07040-3725
(973) 762-7676
(973) 762-7677
Mailing address
2130 MILLBURN AVE, SUITE C11, MAPLEWOOD, NJ 07040-3725
(973) 762-7676
(973) 762-7677
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA049357
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536605
—
NJ
01
—
223680355
TAX ID
NJ
Enumeration date
06/09/2006
Last updated
01/26/2009
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