NPI 1316132467

Sushil K Mehandru MD PA

Organisation Preferred Provider Organization Wall Township, NJ

Practice location

Address: 1925 Hwy 35, Wall Township, NJ 07719-3512
Phone: (732) 974-0100
Fax: (732) 974-0137

Authorised official

Name: Sushil K Mehandru
Title: MD Pressident
Phone: (732) 974-0100

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA034596 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1316132467
Entity type: Organization
NPI issued: 12 Sep 2007
Record last updated: 22 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.