MEDICARE: GANGA VERMA DDS

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	122300000X	Dentist	22DI02548800	NJ

General Provider Information

NPI Number	:	1679908156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GANGA VERMA DDS

Provider Business Mailing Address
First Line	:	6 CYPRESS ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4854
Country	:	US
Telephone Number	:	201-204-8124
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 CYPRESS ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4854
Country	:	US
Telephone Number	:	201-204-8124
Fax Number	:

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

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	09/04/2013

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Directions to “ GANGA VERMA DDS” Practice Location

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