Individual
DR. SANJAY GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD MD
Contact information
Practice address
1080 CAROLINE DR, SUITE 200, WASHINGTON, MO 63090-4902
(636) 390-2288
(636) 390-2277
Mailing address
1080 CAROLINE DR, SUITE 200, WASHINGTON, MO 63090-4902
(636) 390-2288
(636) 390-2277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R6N94
MO
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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