person
Dr. Suma Bala Ghanta, MD
General Practice Physician in Flanders, New Jersey
NPI 1609818756

Suma Bala Ghanta is a General Practice Physician based in Marlton, NJ. Suma Bala Ghanta practices in Flanders, NJ and has the professional credentials of MD. The NPI Number for Suma Bala Ghanta is 1609818756 and holds a License No. 25MA07257600 (New Jersey).

The current practice location address for Suma Bala Ghanta is 183 Route 206, Flanders, NJ and can be reached out via phone at 973-347-3277 and via fax at 973-347-3141.

Location: 183 Route 206, Flanders, NJ, 08053-4112
person
Provider Profile Details
NPI Number
1609818756
Provider Name
Suma Bala Ghanta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
183 Route 206, Flanders, NJ, 08053-4112
Phone Number
973-347-3277
Fax Number
973-347-3141
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8825106 05 NJ
institution
Provider Business Practice Location Address Details
Address
183 Route 206
City
State
Zip
07836-9050
Phone Number
973-347-3277
Fax Number
973-347-3141
person
Provider Business Mailing Address Details
Address
183 Route 206
City
State
Zip
07836-9050
Phone Number
973-347-3277
Fax Number
973-347-3141
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
25MA07257600 (New Jersey)
Definition
Definition to come...
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