Healthcare Provider Details

I. General information

NPI: 1952410458
Provider Name (Legal Business Name): INDRANI SEN HIGHTOWER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: INDRANI SEN M.D.

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 HURFFVILLE CROSSKEYS RD STE B16
SEWELL NJ
08080-2351
US

IV. Provider business mailing address

445 HURFFVILLE CROSSKEYS RD STE B16
SEWELL NJ
08080-2351
US

V. Phone/Fax

Practice location:
  • Phone: 856-352-6660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA07734700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: