Individual
DONALD G GANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
78009
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3141896
—
MA
Enumeration date
10/19/2005
Last updated
11/14/2023
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