Individual
JOYTIBEN GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
610 SOLAREX COURT, FREDERICK, MD 21703
(301) 682-5500
(301) 663-8557
Mailing address
610 SOLAREX COURT, FREDERICK, MD 21703
(301) 663-6162
(301) 694-8525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002709
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA53763
CDS
MD
Enumeration date
01/17/2007
Last updated
03/07/2023
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