Tarun Ganguly, DO | |
3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | |
(609) 754-9414 | |
Not Available |
Full Name | Tarun Ganguly |
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Gender | Male |
Speciality | Family Medicine |
Location | 3458 Neely Rd, Joint Base Mdl, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144259912 | NPI | - | NPPES |
8197105 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MB65193 (New Jersey) | Secondary |
207R00000X | Internal Medicine | MB65193 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 25 (New Jersey) | Primary |
Entity Name | Dallas County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
Mailing Address | Practice Location Address |
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Tarun Ganguly, DO 3458 Neely Rd, Jb Mdl, NJ 08641-5312 Ph: (609) 754-9014 | Tarun Ganguly, DO 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 Ph: (609) 754-9414 |
Daniel W Cline, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Joint Base Mdl, NJ 08641 Phone: 866-377-2778 Fax: 609-754-9558 | |
Dr. Jennie O'lera Malone, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3458 Neely Rd, Joint Base Mdl, NJ 08641 Phone: 888-363-2273 |