Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 229573 | MA |
N | 111NI0900X | Internist | 229573 | MA |
Y | 207RH0003X | Hematology & Oncology | 25MA09127500 | NJ |
N | 207RH0003X | Hematology & Oncology | MD438346 | PA |
NPI | 1033385877 |
---|---|
Provider Name | Dr. Neel Jitendra Gandhi |
First Address | Lawrenceville, NJ 08648 |
Second Address | Lawrenceville, NJ 08648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 25/07/2012 |