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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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