Individual
AZHAGASUNDARAM GANESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 CLIFTON AVE, CLIFTON, NJ 07011-3230
(976) 365-1330
(973) 365-2410
Mailing address
534 CLIFTON AVE, CLIFTON, NJ 07011-3230
(976) 365-1330
(973) 365-2410
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30225
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2419301
—
NJ
Enumeration date
10/10/2006
Last updated
07/08/2007
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