Individual
DR. SANDOLSAM CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1171 ELIZABETH AVE, ELIZABETH, NJ 07201-2200
(908) 351-5384
Mailing address
305 E 161ST ST, BRONX, NY 10451-3535
(718) 579-2568
(718) 410-3443
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA11436700
NJ
207V00000X
Obstetrics & Gynecology Physician
295891
NY
207V00000X
Obstetrics & Gynecology Physician
MD483547
PA
Other
Enumeration date
04/24/2015
Last updated
05/12/2025
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