Healthcare Provider Details

I. General information

NPI: 1982905022
Provider Name (Legal Business Name): SPOTSWOOD MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 11/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 MAIN ST
SPOTSWOOD NJ
08884-1702
US

IV. Provider business mailing address

498 MAIN ST
SPOTSWOOD NJ
08884-1702
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-6900
  • Fax: 732-251-5935
Mailing address:
  • Phone: 732-251-6900
  • Fax: 732-251-5935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSHMA SAHNI
Title or Position: OWNER/CEO
Credential: MD
Phone: 732-251-6900