MEDICARE: DR. MANISH GUGNANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA07222900	NJ
2	207RP1001X	Pulmonary Disease Physician	MA72229	NJ

General Provider Information

NPI Number	:	1558327221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANISH GUGNANI MD

Provider Business Mailing Address
First Line	:	3140 PRINCETON PIKE FL 2
Second Line	:
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2330
Country	:	US
Telephone Number	:	609-403-6715
Fax Number	:	609-403-6567

Provider Business Practice Location Address
First Line	:	3140 PRINCETON PIKE FL 2
Second Line	:
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2330
Country	:	US
Telephone Number	:	609-403-6715
Fax Number	:	609-403-6567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	04/30/2024

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