Dr. Michael P Gannon, MD
Internal Medicine, Cardiovascular Disease in Woodbury, New Jersey
1194086041- Practice location
- 730 N Broad St Ste 200A, Woodbury, NJ 08096-1796
- Phone
- 856-251-2340
- Fax
- —
- Last updated
- August 28, 2024
Michael Patrick Gannon is an Internal Medicine, Cardiovascular Disease based in Woodbury, NJ. Michael Patrick Gannon practices in Woodbury, NJ and has the professional credentials of MD. The NPI Number for Michael Patrick Gannon is 1194086041 and holds a License No. 251885 (MA). The current practice location address for Michael Patrick Gannon is 730 N Broad St Ste 200A, Woodbury, NJ 08096-1796 and can be reached out via phone at 856-251-2340.
Provider Profile Details
- NPI Number
- 1194086041
- Provider Name
- Michael Patrick Gannon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 730 N Broad St Ste 200A, Woodbury, NJ 08096-1796
- Phone Number
- 856-251-2340
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2012
- Last Update Date
- August 28, 2024
- Certification Date
- August 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 730 N Broad St Ste 200A
Woodbury, NJ 08096-1796 - City
- Woodbury
- State
- New Jersey
- Zip
- 08096-1796
- Phone Number
- 856-251-2340
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
License Information
- License Number (1)
- 251885
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD466806
- License State (2)
- PA
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- License Number (3)
- 25MA12053900
- License State (3)
- NJ
- Taxonomy (3)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Cardiovascular Disease providers near Woodbury, NJ
View all Internal Medicine, Cardiovascular Disease providers in Woodbury →- Farooq A Padder, MDInternal Medicine, Cardiovascular Disease · NPI 1700833449
- John S Owens, MDInternal Medicine, Cardiovascular Disease · NPI 1194764324
- Owens Vergari Unwala Cardiology Associates, PAInternal Medicine, Cardiovascular Disease · NPI 1689625477
- Thomas F Moccia, DOInternal Medicine, Cardiovascular Disease · NPI 1891739686
- Tri-County Cardiovascular Services, PCInternal Medicine, Cardiovascular Disease · NPI 1295005031
Frequently Asked Questions
What is the NPI number of Dr. Michael P Gannon, MD?
The NPI number of Dr. Michael P Gannon, MD is 1194086041. It was assigned on June 6, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael P Gannon, MD?
Dr. Michael P Gannon, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 251885.
Where does Dr. Michael P Gannon, MD practice?
The practice location is 730 N Broad St Ste 200A, Woodbury, NJ 08096-1796. The office can be reached at 856-251-2340 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194086041 directly on the NPPES registry website.