MANICKAM GANESH M.D., P.A.
Osteopathic Medicine at Park Ave, Town Center, NJ

License number
New Jersey 25MA03057000
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New Jersey 25MA03057000
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. MANICKAM GANESH M.D.
Title: PRESIDENT
Phone: (973) 669-8181
Address
Address 2
24 Park Ave, Town Center, NJ 07052
5 Eccleston Ct, Montville Township, NJ 07045
National Provider ID: 1831384486
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Manickam Ganesh MD PA

24 Park Ave, Town Center, NJ 07052

Industry:
Internal Medicine & Nephrology
Doing business as:
Ganesh, M MD<br>M Ganesh MD
Phone:
(973) 669-8181 (Phone)
Medical Assistants:
Ganesh Manickam (Medical Doctor, President),Corrine Muntaz (Office Manager),Kalyani Theivanayagam (Internal Medicine),...

MANICKAM GANESH, M.D., PA

Montville, NJ

Registration:
Dec 24, 1979
State ID:
0100103617
Business type:
PA

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