Individual
DR. BRUCE MERRILL GANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 324-3658
(973) 324-3656
Mailing address
4716 OLD GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
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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