Individual
SANJEEV GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
517 PIERCE ST, KINGSTON, PA 18704-5756
(570) 763-4690
(570) 288-9613
Mailing address
517 PIERCE ST, KINGSTON, PA 18704-5756
(570) 763-4690
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD420095
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100999892
—
PA
Enumeration date
06/13/2006
Last updated
04/09/2020
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