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NPI Code Detail

MEDICARE: DIABETES AND ENDOCRINE CARE, LLC

MEDICARE: DIABETES AND ENDOCRINE CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1639839558
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIABETES AND ENDOCRINE CARE, LLC
Provider Business Mailing Address
First Line : 51 PENN RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4835
Country : US
Telephone Number : 716-239-9115
Fax Number :
Provider Business Practice Location Address
First Line : 1318 S MAIN RD STE 4A
Second Line :
City : VINELAND
State : NJ
Zip : 08360-6516
Country : US
Telephone Number : 716-239-9115
Fax Number :
Authorized Official
Title or Position : MD
Name : DR. SARTAJ S SANDHU
Credential :
Telephone Number : 716-239-9115
Provider Enumeration Date : 12/20/2021
Last Update Date : 12/20/2021

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Directions to “DIABETES AND ENDOCRINE CARE, LLC ” Practice Location

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