Individual
MAUREEN GANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST # STREETC, NEWARK, NJ 07103
(973) 972-5128
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
138476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604526
—
NJ
Enumeration date
08/26/2005
Last updated
05/09/2022
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