Individual
INGRID GANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 LONGWOOD AVE, BOSTON, MA 02115-5746
(617) 355-1463
Mailing address
300 LONGWOOD AVE, ENDERS 123, BOSTON, MA 02115-5724
(617) 355-1463
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
262488
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD21076
ME
Other
Enumeration date
04/01/2009
Last updated
12/19/2016
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