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Pratik Gandhi

NPI Registration Record

Provider / OrganizationNPIDate Certified
PRATIK GANDHI10933179922020-11-15
Entity TypeIndividual
Provider Name Pratik Gandhi
Practice Office Address160 HIAWATHA BLVD
LAKE HIAWATHA, NJ US
Practice Office Telephone8622226514
Mailing Address160 HIAWATHA BLVD
LAKE HIAWATHA, NJ 070342213 US
HPT Codes
CodeLicense NoState
183500000X PRIMARY28RI03801900 NJ
OPI Codes

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