Ganepola, Ganepola Ap
Ganepola, Ganepola Ap is an sole proprietor health care provider with primary practice located at 400 Franklin Tpke Suite 110, Mahwah NJ 07430-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ganepola, Ganepola Ap can be contacted via phone (201) 236-0400.Contact Information
Primary practice address
400 Franklin Tpke Suite 110
Mahwah NJ 07430-3516
Phone: (201) 236-0400
Fax: (201) 236-8463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA02870800 | New Jersey |
Profile Details
| NPI number | 1487680260 |
|---|---|
| LBN Legal business name | Ganepola, Ganepola Ap |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487680260 | NPPES |
| New Jersey | MEDICAID | 1831208 |
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