Individual
MS. TRACEY M GANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
1707 ATLANTIC AVE, MANASQUAN, NJ 08736-1147
(732) 528-0760
(732) 528-4695
Mailing address
19 DAVIS AVE, 2ND FLR-HEM/ONC, NEPTUNE, NJ 07753
(732) 528-0760
(732) 528-0754
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00076900
NJ
Other
Enumeration date
05/19/2006
Last updated
07/15/2019
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