Individual
SURYAPRAKASH GANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25B VREELAND RD, FLORHAM PARK, NJ 07932-1900
(973) 660-9334
Mailing address
25B VREELAND RD, PO BOX 0037, FLORHAM PARK, NJ 07932-1900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA04289800
NJ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MA04289800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020904
—
NJ
Enumeration date
12/12/2006
Last updated
01/22/2008
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