Individual
DR. SAUGATO SANYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD. MBA. FACC
Contact information
Practice address
2001 LINCOLN DR W STE F, MARLTON, NJ 08053-1531
(609) 922-0082
(609) 922-0082
Mailing address
4 WINDING WAY, MOUNT LAUREL, NJ 08054-4834
(609) 922-0082
(609) 922-0082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08082400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123722
—
NJ
01
—
10388740
CAQH
—
Enumeration date
05/20/2006
Last updated
01/31/2012
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