Individual
RICHARD A GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34-36 PROGRESS ST, B-3, EDISON, NJ 08820-1197
(908) 757-6633
(908) 757-3912
Mailing address
34-36 PROGRESS ST, B-3, EDISON, NJ 08820-1197
(908) 757-6633
(908) 757-3912
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06475900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7039301
—
NJ
Enumeration date
11/28/2006
Last updated
01/22/2016
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