MANICKAM GANESH

WEST ORANGE, NJ
NPI1962419838
Professional NameMANICKAM GANESH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA03057000)
Additional Taxonomies207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NJ  25MA03057000)
207RN0300X Internal Medicine, Nephrology
(Licence: NJ  25MA03057000)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- MANICKAM GANESH MD
24 PARK AVENUE
WEST ORANGE, NJ 07052-5517
Phone number: 973-669-8181
Mailing Address
-- MANICKAM GANESH MD
5 ECCLESTON COURT
MONTVILLE, NJ 07045-9663
Phone number: 973-669-8181