Individual
DR. EDMUND ANTHONY GANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 355-8000
(860) 350-6291
Mailing address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 355-8000
(860) 350-6291
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
055152
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
055152
CT
Other
Enumeration date
08/18/2005
Last updated
07/06/2016
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