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Contact Information

SANJAY K JAIN, MD
PANTHER VALLEY MALL, BLDG B, ROUTE 517
HACKETTSTOWN, NJ07840
 Phone: 908-852-0107
 Fax: 908-850-9160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SANJAY K JAIN · (Male)

NPI # 1063455780
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA42351
  • NJ Medicaid 1975102
  • NY Medicaid 00918130
  • Other 1K1812 COMMERCIAL
Hospital affiliation(s)
  • HACKETTSTOWN REGIONAL MEDICAL CENTER - (Acute Care)
    651 WILLOW GROVE ST
    HACKETTSTOWN, NJ 07840
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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