Individual
DR. GANEPOLA AP GANEPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 FRANKLIN TPKE, SUITE 110, MAHWAH, NJ 07430-3516
(201) 236-0400
(201) 236-8463
Mailing address
400 FRANKLIN TPKE, SUITE 110, MAHWAH, NJ 07430-3516
(201) 236-0400
(201) 236-8463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02870800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831208
—
NJ
Enumeration date
06/24/2006
Last updated
07/08/2007
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