Individual
JATIN D GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 N BROADWAY, SUITE 500, PENNSVILLE, NJ 08070-1253
(856) 678-7474
(856) 678-3018
Mailing address
PO BOX 109, SHILOH, NJ 08353-0109
(856) 451-9395
(856) 451-8615
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03647300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072366000
AMERIHEALTH
NJ
05
—
3079406
—
NJ
Enumeration date
04/17/2006
Last updated
04/23/2010
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