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Individual
SUHAS GANGULI
Active
Individual
SUHAS GANGULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
68801
WI
208000000X
Pediatrics Physician
68801
WI
2080P0216X
Pediatric Rheumatology Physician
Primary
25MA11379800
NJ
Other
Enumeration date
01/31/2015
Last updated
08/18/2022
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