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Organization

ORANGE MEDICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMESH M KANIA M.D (PRIMARY CARE PHYSICIAN)
12014077732
Entity
Organization

Contact information

Practice address
310 CENTRAL AVE, SUITE 106, EAST ORANGE, NJ 07018-2835
(973) 674-4542
(973) 674-3901
Mailing address
310 CENTRAL AVE, SUITE 106, EAST ORANGE, NJ 07018-2835
(973) 674-4542
(973) 674-3901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04159700
NJ
207RC0000X
Cardiovascular Disease Physician
25MA04511900
NJ
207RH0003X
Hematology & Oncology Physician
Primary
25MA04457800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5623308
NJ
Enumeration date
07/19/2006
Last updated
08/06/2010
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