# GANCHI PLASTIC SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063031862
- **Authorized official:** DR. PARHAM GANCHI PHD, MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (973) 942-6600

## Contact information

- **Practice address:** 246 HAMBURG TPKE STE 307, WAYNE, NJ 07470-2161
- **Practice address phone:** (973) 942-6600
- **Practice address fax:** (973) 595-5002
- **Mailing address:** 246 HAMBURG TPKE STE 307, WAYNE, NJ 07470-2161
- **Mailing address phone:** (973) 942-6600
- **Mailing address fax:** (973) 595-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2020
- **Last updated:** 04/11/2020