Individual
MARIAM GANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 FRENCH ST FL 2, NEW BRUNSWICK, NJ 08901-1935
(732) 235-9378
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA0860330
NJ
2080P0205X
Pediatric Endocrinology Physician
255190
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA0860330
NJ
Other
Enumeration date
04/01/2010
Last updated
04/12/2024
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