Individual provider · Type 1 NPI
Suma Bala Ghanta, MD
General Practice Physician · Flanders, NJ
NPI number
1609818756
Active
Practice location
183 Route 206
Flanders, NJ 07836-9050
Fax (973) 347-3141
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 25MA07257600 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Flanders
About NPI 1609818756
Suma Bala Ghanta, MD's National Provider Identifier is 1609818756, issued on Jun 12, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Flanders, NJ. The record was last updated on Mar 22, 2010.