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Individual
DR. TANIA GHOSH
Active
Individual
DR. TANIA GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053935
IL
207R00000X
Internal Medicine Physician
Primary
25MA10535800
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01072745A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MT198588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0697184
—
NJ
05
—
201189070
—
IN
01
—
860391
MEDICARE NJ
NJ
Enumeration date
09/24/2010
Last updated
01/20/2020
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