Individual
DR. BRYAN ABDUL GHANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WASHINGTON ST, NEWARK, NJ 07102-2921
(973) 622-3890
Mailing address
2 CALAIS PL, MONTVILLE, NJ 07045-9551
(973) 229-4288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09804900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2012
Last updated
02/23/2023
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