Healthcare Provider Details

I. General information

NPI: 1487744629
Provider Name (Legal Business Name): SANFORD F WHITE MD OBSTETRICS & GYNECOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B4 CORNWALL CT
EAST BRUNSWICK NJ
08816-3352
US

IV. Provider business mailing address

P.O. BOX 70 THE SOMERSET NETWORK
WESTFIELD NJ
07091
US

V. Phone/Fax

Practice location:
  • Phone: 732-698-1115
  • Fax: 732-698-1366
Mailing address:
  • Phone: 907-317-6807
  • Fax: 908-317-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANFORD F WHITE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 732-698-1115