Most Relevant Information
Provider Data
| NPI Number: | 1003668906 |
| Provider Name: | SAMRAH GHANI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2024 |
| Last Updated: | 04/03/2024 |
Provider Practice Location
1 BAY AVE
MONTCLAIR
NJ
070424837
Practice Location Phone/Fax
| Phone: | 8623334700 |
| Fax: |
Provider Mailing Location
1 BAY AVE
MONTCLAIR
NJ
070424837
Provider Mailing Phone/Fax
| Phone: | 8623334700 |
| Fax: |