Individual
MR. ROBERT GARY GANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
18 APPLETON RD, GLEN RIDGE, NJ 07028-2204
(973) 429-0584
Mailing address
18 APPLETON RD, GLEN RIDGE, NJ 07028-2204
(973) 429-0584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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