Individual
MR. DINESH GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 SPRUCE ST, NEWARK, NJ 07108-3015
(973) 623-1876
(973) 623-2260
Mailing address
23 BALTIC ST, EDISON, NJ 08820-2726
(732) 516-1767
(973) 623-2260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00293500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4325702
—
NJ
Enumeration date
12/01/2011
Last updated
12/01/2011
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