HIMABALA GHANTA
Medical Practice at Sussex Rd, Tenafly, NJ

License number
Florida 98710
Issued Date
May 10, 2007
Effective Date
May 10, 2007
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
154 Sussex Rd, Tenafly, NJ 07670
79-01 Broadway, Room E2-27 Room #E2-27, Flushing, NY 11373
Phone
(201) 567-5294
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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