Provider Demographics
NPI:1376703132
Name:KANDRA, ARUN M (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:M
Last Name:KANDRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3928
Mailing Address - Country:US
Mailing Address - Phone:610-438-5071
Mailing Address - Fax:610-438-5073
Practice Address - Street 1:3735 EASTON NAZARETH HWY STE 203
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8346
Practice Address - Country:US
Practice Address - Phone:610-438-5071
Practice Address - Fax:610-438-5073
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08387400207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology