Provider Demographics
NPI:1851591085
Name:GANDHI, ASHA J (MD)
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:J
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:VINELAND DEVELOPMENTAL CENTER
Mailing Address - Street 2:1676 E. LANDIS AVENUE, PO BOX 1513
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08382-1513
Mailing Address - Country:US
Mailing Address - Phone:856-696-6431
Mailing Address - Fax:856-794-5803
Practice Address - Street 1:VINELAND DEVELOPMENTAL CENTER
Practice Address - Street 2:1676 E. LANDIS AVENUE
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08382-1513
Practice Address - Country:US
Practice Address - Phone:856-696-6431
Practice Address - Fax:856-794-5803
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03673500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics