Provider Demographics
NPI:1518428341
Name:SANGAL, ALISHA (MD)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:SANGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PLAINSBORO RD STE 500
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1917
Mailing Address - Country:US
Mailing Address - Phone:609-936-0700
Mailing Address - Fax:609-936-0750
Practice Address - Street 1:5 PLAINSBORO RD STE 500
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1917
Practice Address - Country:US
Practice Address - Phone:609-936-0700
Practice Address - Fax:609-936-0750
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11758000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology