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A GANCHI MD LLC NPI 1205083599


NPI Information

NPI: 1205083599
Provider Name: A GANCHI MD LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
342 HAMBURG TPKE
STE 202
WAYNE, NJ
ZIP 07470
Phone: (973) 790-6161
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A GANCHI MD LLC is a general practice in Wayne, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee A GANCHI MD LLC NPI is 1205083599. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

342 HAMBURG TPKE
STE 202
WAYNE, NJ
ZIP 07470-162
Phone: (973) 790-6161

The provider's authorized official is Peyman Maghsoudlou .
The authorized official title is Manager and has the following contact phone number (973) 458-0114.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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