Individual
DR. HIMABALA GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ENGLE ST STE 14, ENGLEWOOD, NJ 07631-2417
(201) 567-7615
(201) 567-8033
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA10009900
NJ
Other
Enumeration date
05/04/2007
Last updated
02/27/2025
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