Provider Demographics
NPI:1528299815
Name:SANDOZ, JOSHUA JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JOHN
Last Name:SANDOZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2057 BRIGGS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4639
Mailing Address - Country:US
Mailing Address - Phone:856-206-9560
Mailing Address - Fax:856-206-9701
Practice Address - Street 1:2057 BRIGGS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4639
Practice Address - Country:US
Practice Address - Phone:856-206-9560
Practice Address - Fax:856-206-9701
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00676600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor