Individual
DR. GANGASWAMAIAH HAMSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1555 RUTH RD STE 6, NORTH BRUNSWICK, NJ 08902-4074
(732) 821-9200
(732) 821-9202
Mailing address
15 OLSEN CT, KENDALL PARK, NJ 08824
(201) 920-2304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07698400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047392
—
NJ
01
—
7686632
AETNA
NJ
01
—
91001472100
AMERICHOICE OF NEW JERSEY
NJ
01
—
P00158189
RAILROAD MEDICARE
NJ
Enumeration date
06/13/2006
Last updated
02/18/2020
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