Individual
DR. BRUCE MERRILL GANS
Active
Individual
DR. BRUCE MERRILL GANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
25MA07336800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07336800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050971
—
NJ
Enumeration date
10/11/2005
Last updated
04/01/2011
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