Jain, Sanjay K

Jain, Sanjay K is an individual health care provider with primary practice located at Panther Valley Mall, Bldg B, Route 517 , Hackettstown NJ 07840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jain, Sanjay K can be contacted via phone (908) 852-0107.

Contact Information

Primary practice address
Panther Valley Mall, Bldg B, Route 517 Hackettstown NJ 07840
Phone: (908) 852-0107
Fax: (908) 850-9160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA42351 New Jersey

Profile Details

NPI number 1063455780
LBN Legal business name Jain, Sanjay K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063455780 NPPES
New Jersey MEDICAID 1975102
New Jersey MEDICAID 00918130
New Jersey Other 1K1812

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