Individual
NIKITA GANATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-5104
Mailing address
PO BOX 3581, JERSEY CITY, NJ 07303-3581
(732) 343-2551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA20009400
NJ
207P00000X
Emergency Medicine Physician
A162855
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
08/05/2024
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