Organization
S.GANTI MD PA
Active
Other names
Subrahmanyam Ganti
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBRAHMANYAM GANTI M.D. (PHYSICIAN OWNER)
(908) 822-1181
Entity
Organization
Contact information
Practice address
906 OAK TREE AVE, SUITE E, SOUTH PLAINFIELD, NJ 07080-5127
(908) 822-1181
Mailing address
906 OAK TREE AVE, SUITE E, SOUTH PLAINFIELD, NJ 07080-5127
(908) 822-1181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04333600
NJ
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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