Individual
ITAI GANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
266 LANCASTER AVE STE 200, MALVERN, PA 19355-3256
(610) 644-6900
(833) 941-3871
Mailing address
PO BOX 34990, BELFAST, ME 04915-0627
(833) 941-3871
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD471151
PA
Other
Enumeration date
05/08/2014
Last updated
04/03/2025
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