Individual
MUTTIAH GANESHANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 854, MCA 410, HERSHEY, PA 17033-0854
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD057461L
PA
Other
Enumeration date
08/29/2006
Last updated
12/23/2011
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