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Organization
GHANSHYAM LALLA & PUSHPA LALLA PC
Active
Organization
GHANSHYAM LALLA & PUSHPA LALLA PC
Active
Other names
GHANSHYAM LALLA & PUSHPA LALLA PC
Organization subpart
No
Provider details
NPI number
Authorized official
GHANSHYAM S LALLA MD (PRESIDENT)
(973) 736-7750
Entity
Organization
Contact information
Practice address
383 NORTHFIELD AVE, SUITE 102, WEST ORANGE, NJ 07052-3024
(973) 736-7750
(973) 669-9691
Mailing address
383 NORTHFIELD AVE, SUITE 102, WEST ORANGE, NJ 07052-3024
(973) 736-7750
(973) 669-9691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26258
NJ
207RH0000X
Hematology (Internal Medicine) Physician
25819
NJ
Other
Enumeration date
05/03/2007
Last updated
10/21/2010
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