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Individual
JOANN S GANIM
Active
Individual
JOANN S GANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79065
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011300
NEIGHBORHOOD HEALTH
MA
01
—
079065
TUFTS
MA
05
—
3129004
—
MA
01
—
J30907
BLUE CROSS
MA
01
—
PP842
HARVARD PILGRIM
MA
Enumeration date
01/03/2006
Last updated
10/26/2020
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