Gannon, Michael Patrick

Gannon, Michael Patrick is an sole proprietor health care provider with primary practice located at 730 N Broad St Ste 200A , Woodbury NJ 08096-1796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gannon, Michael Patrick can be contacted via phone (856) 251-2340.

Contact Information

Primary practice address
730 N Broad St Ste 200A Woodbury NJ 08096-1796
Phone: (856) 251-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 251885 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD466806 Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA12053900 New Jersey

Profile Details

NPI number 1194086041
LBN Legal business name Gannon, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Apr 10th, 2024 - about 7 months 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.

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