Individual
ANDREW T GANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MAIN AVE, CLIFTON, NJ 07011-2266
(973) 306-0025
Mailing address
338 TERRACE AVE, JERSEY CITY, NJ 07307-3954
(551) 358-8478
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZE0600X
ELECTRODIAGNOSTIC TECHNICIAN TAXONOMY
—
Enumeration date
08/21/2018
Last updated
04/06/2026
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