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Individual

AMIT HARSH GANGOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
649 N LEWIS RD STE 220, LIMERICK, PA 19468-1234
(610) 481-9600
Mailing address
170 N HENDERSON RD STE 310, KING OF PRUSSIA, PA 19406-2155
(610) 481-9600
(610) 481-0225

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD069250L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386393
HIGHMARK BLUE SHIELD
Enumeration date
09/29/2005
Last updated
11/18/2025
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