Individual
NITISH GANGOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 WASHINGTON ST, HOBOKEN, NJ 07030-5105
(201) 659-1600
Mailing address
426 MOUNTAIN AVE, GILLETTE, NJ 07933-2014
(201) 317-9678
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02539800
NJ
Other
Enumeration date
02/17/2013
Last updated
07/30/2019
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