Individual
SAMUEL GANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S EXETER ST, BALTIMORE, MD 21202-4316
(866) 389-2727
Mailing address
630 S EXETER ST, BALTIMORE, MD 21202-4316
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08178
MD
Other
Enumeration date
04/24/2021
Last updated
04/18/2022
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