Provider Demographics
NPI:1689951113
Name:SAND, JOSHUA CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHARLES
Last Name:SAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1940
Mailing Address - Country:US
Mailing Address - Phone:856-981-7010
Mailing Address - Fax:
Practice Address - Street 1:205 S PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1940
Practice Address - Country:US
Practice Address - Phone:856-981-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010396111N00000X
NJ38MC00695300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor