Organization
DAN V SANDRU MD LLC
Active
Organization
DAN V SANDRU MD LLC
Active
Other names
Doctor's Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN VICTOR SANDRU MD (PHYSICIAN)
(908) 330-7463
Entity
Organization
Contact information
Practice address
389 N COUNTY LINE RD, JACKSON, NJ 08527-4426
(908) 330-7463
Mailing address
511 HARTSHORNE CT, FREEHOLD, NJ 07728-8214
(908) 330-7463
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00741600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08439200
MEDICAL LICENSE
NJ
Enumeration date
09/12/2017
Last updated
09/12/2017
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