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Individual

GANESH TAMANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1124 MACE AVE, ESSEX, MD 21221-3315
(410) 391-6996
Mailing address
8640 JESSICA LN, PERRY HALL, MD 21128-9671
(443) 682-5444

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R242002
MD

Other

Enumeration date
12/01/2022
Last updated
12/01/2022
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