Edmund Anthony Ganal M.D.

NPI 1003808767 - General Practice - 208D00000X

NPI Details
NPI 1003808767
Gender Male
Enumeration Date 08/18/2005
Last Updated 06/03/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
1 HIGH ST
WAKEFIELD RI, 02879-3103, US
Phone (858) 259-9200
Fax
Business Location
131 KENT RD
NEW MILFORD CT, 06776-3485, US
Phone (860) 355-8000
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number A89360
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According to our database, Dr. Edmund Anthony Ganal M.D. NPI is 1003808767, taxonomy code is 208D00000X and license number is A89360, license state is located at California. Edmund Anthony Ganal M.D. physically located at 1 High St, Wakefield RI, 02879-3103. NPI Number Edmund Anthony Ganal M.D. has the Individual type.

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1003808767 NPI number is provided on an as is basis without warranty of any kind. 1003808767 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund Anthony Ganal M.D. are for informational purposes only.