Organization
ELIZABETH GANOPOLSKY, MD. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH GANOPOLSKY M.D. (M.D.)
(201) 567-0522
Entity
Organization
Contact information
Practice address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 567-0522
(201) 567-5955
Mailing address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 567-0522
(201) 567-5955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06944500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8082502
—
NJ
Enumeration date
03/12/2007
Last updated
05/07/2008
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