Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 26NJ00862900 | NJ |
NPI | 1144705328 |
---|---|
Provider Name | Kajal Gandhi |
First Address | Oakland, NJ 07436-2714 |
Second Address | Oakland, NJ 07436-2714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2018 |
Last Update Date | 03/10/2018 |