Individual
DR. THERESA MARIA DISANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
217 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1703
(856) 547-1212
(856) 547-3722
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB08554700
NJ
207RG0100X
Gastroenterology Physician
OT010580
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198561
—
NJ
05
—
102316770
—
PA
Enumeration date
07/03/2008
Last updated
02/23/2026
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