Individual
TANEETA MINDY GANGULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 RAVDIN, PHILADELPHIA, PA 19104-4206
(267) 760-7857
Mailing address
3400 SPRUCE ST, 3 DULLES, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
MD467235
PA
Other
Enumeration date
05/15/2015
Last updated
12/04/2025
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