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Organization

SELVA GANESH, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SELVA GANESH M.D. (OWNER/DOCTOR)
(561) 732-3200
Entity
Organization

Contact information

Practice address
211 E BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33435-3839
(561) 732-3200
(561) 732-6849
Mailing address
211 E BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33435-3839
(561) 732-3200
(561) 732-6849

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0025890
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265927100
FL
Enumeration date
10/29/2008
Last updated
08/09/2011
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