Organization
A GANCHI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN MAGHSOUDLOU (MANAGER)
(973) 458-0114
Entity
Organization
Contact information
Practice address
342 HAMBURG TPKE, STE 202, WAYNE, NJ 07470-2162
(973) 790-6161
Mailing address
342 HAMBURG TPKE, STE 202, WAYNE, NJ 07470-2162
(973) 790-6161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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