Individual
MR. ADAM CRAIG GANZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
99 BEAUVOIR AVE, OUTPATIENT NEUROLOGY, SUMMIT, NJ 07901-3577
(908) 522-5545
(908) 522-6147
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00407500
NJ
Other
Enumeration date
03/29/2013
Last updated
04/21/2020
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