Individual
SANDRA L SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 579-8975
(973) 579-8423
Mailing address
175 HIGH ST, 40 PARK PLACE, NEWTON, NJ 07860-1004
(973) 579-8975
(973) 579-8423
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MAO58291
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5603005
—
NJ
Enumeration date
03/17/2006
Last updated
08/04/2010
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