Provider Demographics
NPI:1982905022
Name:SPOTSWOOD MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:SPOTSWOOD MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-251-6900
Mailing Address - Street 1:498 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1702
Mailing Address - Country:US
Mailing Address - Phone:732-251-6900
Mailing Address - Fax:732-251-5935
Practice Address - Street 1:498 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884-1702
Practice Address - Country:US
Practice Address - Phone:732-251-6900
Practice Address - Fax:732-251-5935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
402316Medicare PIN