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General NPI Number Information
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NPI Number | 1811332273
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Entity Type | Individual
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Provider Name | STANISLAV GANZMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 9701 VENTNOR AVE STE 201
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City | MARGATE CITY
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State | NJ
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Zip | 08402-2222
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Country | US
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Telephone | 609-822-4242
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Fax | 609-822-3211
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Provider Business Mailing Address
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Address Line | 220 S VIENNA AVE
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City | EGG HARBOR CITY
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State | NJ
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Zip | 08215-3234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA10205100
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License Number State | NJ
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