Organization
HARRISON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED D. GANGEMI MD (MEDICAL DIRECTOR)
(732) 747-1035
Entity
Organization
Contact information
Practice address
234 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 747-1035
(732) 747-1069
Mailing address
234 MAPLE AVE, RED BANK, NJ 07701-1731
(732) 747-1035
(732) 747-1069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04340200
NJ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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