Individual
NISHA GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3322
(201) 894-0585
Mailing address
375 ENGLE ST, SECOND FLOOR, ENGLEWOOD, NJ 07631-1823
(201) 871-6073
(201) 655-6159
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA07768000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062740
—
NJ
01
—
P00231932
RAILROAD MEDICARE
NJ
Enumeration date
05/10/2006
Last updated
08/18/2011
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