Individual
AMANDA LYNN GANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE STE 805, HACKENSACK, NJ 07601-1974
(201) 968-1800
(201) 968-1814
Mailing address
20 PROSPECT AVE STE 805, HACKENSACK, NJ 07601-1974
(201) 968-1800
(201) 968-1814
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA10053000
NJ
Other
Enumeration date
03/26/2013
Last updated
07/21/2022
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