| NPI | 1083788509 |
|---|---|
| Doing Business As | SANJAY GHOSH PHD MD PC |
| Entity Type | Organization |
| Authorized Contact | SANJAY GHOSH Phd Md Pc 636-390-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MO R6N94) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |