Bansal, Sudha
Bansal, Sudha is an individual health care provider with primary practice located at 218A Sunset Rd Lourdes Medical Center Burlington County, Willingboro NJ 08046-1110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bansal, Sudha can be contacted via phone (609) 835-3056.Contact Information
Primary practice address
218A Sunset Rd Lourdes Medical Center Burlington County
Willingboro NJ 08046-1110
Phone: (609) 835-3056
Fax: (609) 835-3061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06499700 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD059329L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA06499700 | New Jersey |
Profile Details
| NPI number | 1487602686 |
|---|---|
| LBN Legal business name | Bansal, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Dec 8th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487602686 | NPPES |
| Pennsylvania | Other | P00795381 | RR MEDICARE - LOWER BUCKS |
| Pennsylvania | Other | 30059865 | RR MEDICARE - LOWER BUCKS |
| Pennsylvania | Other | P00765936 | RR MEDICARE - LOWER BUCKS |
| Pennsylvania | MEDICAID | 0106861 | RR MEDICARE - LOWER BUCKS |
| Pennsylvania | MEDICAID | 1014215290004 | RR MEDICARE - LOWER BUCKS |
| Pennsylvania | Other | 30061308 | RR MEDICARE - LOWER BUCKS |
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