Organization
INFECTIOUS DISEASES PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEPA M UTPAT (OWNER)
(732) 625-2465
Entity
Organization
Contact information
Practice address
101 PROSPECT ST, SUITE 115, LAKEWOOD, NJ 08701-5020
(732) 625-2465
Mailing address
101 PROSPECT ST, SUITE 115, LAKEWOOD, NJ 08701-5020
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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