Organization
ROLAND A GHANEM,MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND A GHANEM MD (PHYSICIAN)
(973) 790-6707
Entity
Organization
Contact information
Practice address
362 UNION BLVD, TOTOWA, NJ 07512-2554
(973) 790-6707
Mailing address
362 UNION BLVD, TOTOWA, NJ 07512-2554
(973) 790-6707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02477700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2746905
—
NJ
Enumeration date
04/14/2011
Last updated
04/14/2011
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