Provider Demographics
NPI:1487694964
Name:SANGOSSE, LOUIS V (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:V
Last Name:SANGOSSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:745 NORTHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1144
Mailing Address - Country:US
Mailing Address - Phone:973-731-0200
Mailing Address - Fax:923-325-2244
Practice Address - Street 1:745 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1144
Practice Address - Country:US
Practice Address - Phone:973-731-0200
Practice Address - Fax:923-325-2244
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05916400207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease