Individual
DOROTHY J GANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
628 SALEM ST, LYNNFIELD, MA 01940-2340
(781) 599-1998
Mailing address
19 RAYMOND ST, MANCHESTER, MA 01944-1614
(781) 599-1998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213481
MA
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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