Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MA4318600 | NJ |
NPI | 1003871484 |
---|---|
Provider Name | Dr. Alpana D. Gandhi |
First Address | Towaco, NJ 07082-1447 |
Second Address | Montville, NJ 07045-9114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1758101 | (05) | NJ |
DO6577 | (02) | NJ |