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Organization
GGI HEALTH LLC
Active
Organization
GGI HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WANGA (APN)
(732) 379-3221
Entity
Organization
Contact information
Practice address
180 TICES LN STE 101, EAST BRUNSWICK, NJ 08816-1345
(732) 379-3221
(848) 200-1139
Mailing address
404 VIBURNUM CT, NORTH BRUNSWICK, NJ 08902-5203
(732) 379-3221
(848) 200-1139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
06/18/2026
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