Individual
MICHAEL R. GANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
179 HIGH ST STE 101, NEWTON, NJ 07860-1010
(973) 862-4297
(973) 327-7760
Mailing address
179 HIGH ST STE 101, NEWTON, NJ 07860-1010
(973) 862-4297
(973) 327-7760
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MB57839
NJ
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
25MB05783900
NJ
Other
Enumeration date
05/18/2006
Last updated
02/11/2026
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