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Individual

ARUNABHA GANGULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-4115
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME39763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30490
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/08/2006
Last updated
01/14/2008
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