Individual
DR. ROLAND ANTHONY GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
362 UNION BLVD, TOTOWA, NJ 07512-2554
(973) 790-6707
(973) 790-1255
Mailing address
362 UNION BLVD, TOTOWA, NJ 07512-2554
(973) 790-6707
(973) 790-1255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02477700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2746905
—
NJ
Enumeration date
09/13/2006
Last updated
07/08/2007
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