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Individual

DR. ATIF Z GHANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13 SPRUCE RD, N CALDWELL, NJ 07006-4527
(973) 364-0538
Mailing address
13 SPRUCE RD, N CALDWELL, NJ 07006-4527
(973) 364-0538

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA02466300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000084302
AMERICHOICE
NJ
01
1194996645
444 WILLIAM ST
NJ
01
1235300799
37 NO DAY ST
NJ
05
1658506
NJ
01
1740345693
741 BROADWAY
NJ
01
1932370483
101 LUDLOW
NJ
Enumeration date
09/13/2006
Last updated
06/04/2008
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