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Individual

PARHAM AMIR GANCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, MD

Contact information

Practice address
246 HAMBURG TPKE, # 307, WAYNE, NJ 07470-2156
(973) 942-6600
Mailing address
246 HAMBURG TPKE, # 307, WAYNE, NJ 07470-2156
(973) 942-6600

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA07408100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9131302
NJ
Enumeration date
03/04/2006
Last updated
03/31/2014
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