Individual
CODY C GANGAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(401) 777-7000
Mailing address
3399 TRINDLE RD, CAMP HILL, PA 17011-4407
(717) 761-5530
(717) 737-7197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062625
PA
Other
Enumeration date
06/30/2021
Last updated
08/28/2025
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