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Individual

SHRIDARR GANESAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-6777
(732) 235-7355
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA078710
NJ
207RX0202X
Medical Oncology Physician
25MA078710
NJ
207RX0202X
Medical Oncology Physician
Primary
334532
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106810
NJ
Enumeration date
06/06/2006
Last updated
03/12/2025
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