Organization
GANCHI PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN MAGHSOUDLOU (MANAGER)
(973) 773-2039
Entity
Organization
Contact information
Practice address
342 HAMBURG TPKE, SUITE 202, WAYNE, NJ 07470-2162
(973) 942-6600
Mailing address
342 HAMBURG TPKE, SUITE 202, WAYNE, NJ 07470-2162
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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