Individual
GANESH NALLURAN PREMARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3156
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3156
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT025056
PA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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