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Individual

GAIUS GHATTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6701 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1704
(732) 979-7456
Mailing address
14 HEMLOCK DR, PARLIN, NJ 08859-1118
(732) 979-7456

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
303065
CA
225100000X
Physical Therapist
Primary
40QA01926500
NJ

Other

Enumeration date
11/29/2020
Last updated
12/04/2023
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