Individual
YACOV GANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1810 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5522
(954) 297-3782
Mailing address
1810 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5522
(954) 297-3782
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NR20421700
NJ
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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