Individual
DR. GAURI GANESH PANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 STATE ST APT 710, NEW HAVEN, CT 06510-3602
(214) 629-0843
Mailing address
360 STATE ST APT 710, NEW HAVEN, CT 06510-3602
(214) 629-0843
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
55523
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
55523
CT
Other
Enumeration date
08/23/2011
Last updated
02/13/2018
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