Organization
GANCHI PLASTIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARHAM GANCHI PHD, MD (MEDICAL DIRECTOR)
(973) 942-6600
Entity
Organization
Contact information
Practice address
246 HAMBURG TPKE STE 307, WAYNE, NJ 07470-2161
(973) 942-6600
(973) 595-5002
Mailing address
246 HAMBURG TPKE STE 307, WAYNE, NJ 07470-2161
(973) 942-6600
(973) 595-5002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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