Escandon, Sandra L
Escandon, Sandra L is an individual health care provider with primary practice located at 633 Rte 37 W , Toms River NJ 08755-8007. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Escandon, Sandra L can be contacted via phone (732) 240-4787.Contact Information
Primary practice address
633 Rte 37 W
Toms River NJ 08755-8007
Phone: (732) 240-4787
Fax: (732) 240-3114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA04195700 | New Jersey |
Profile Details
| NPI number | 1114985942 |
|---|---|
| LBN Legal business name | Escandon, Sandra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114985942 | NPPES |
| New Jersey | MEDICAID | 6533507 | |
| New Jersey | Other | 519171 |
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