Provider Demographics
NPI:1659427748
Name:SARGES, CANDACE (CA, LAC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:SARGES
Suffix:
Gender:F
Credentials:CA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 KINGS RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2500
Mailing Address - Country:US
Mailing Address - Phone:973-660-0110
Mailing Address - Fax:973-660-1106
Practice Address - Street 1:37 KINGS RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2500
Practice Address - Country:US
Practice Address - Phone:973-660-0110
Practice Address - Fax:973-660-1106
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00040000171100000X
MA203561171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist