Healthcare Provider Details

I. General information

NPI: 1992324073
Provider Name (Legal Business Name): CHRISTOPHER W SANDIFER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BERGEN STREET UH I-248
NEWARK NJ
07103
US

IV. Provider business mailing address

150 BERGEN STREET UH I-248
NEWARK NJ
07103
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-6055
  • Fax: 973-972-3129
Mailing address:
  • Phone: 908-581-7277
  • Fax: 973-972-3129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number83518
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: