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Individual

KHILMATTEE GANGASARRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
239 BALDWIN RD, SUITE 108, PARSIPPANY, NJ 07054-7503
(973) 334-2265
Mailing address
239 BALDWIN RD STE 108, PARSIPPANY, NJ 07054-7503
(973) 334-2265

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00653900
NJ

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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