Organization
SKIN CANCER & MOHS SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANGARAM RAGI MD (ADMINISTRATOR)
(201) 836-9696
Entity
Organization
Contact information
Practice address
82 E ALLENDALE RD STE 8A, SADDLE RIVER, NJ 07458-3057
(201) 350-5300
Mailing address
82 E ALLENDALE RD STE 8A, SADDLE RIVER, NJ 07458-3057
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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