Ganim, Joann S

Ganim, Joann S is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ganim, Joann S can be contacted via phone (978) 977-4300.

Contact Information

Primary practice address
2 Essex Center Dr Peabody MA 01960-2902
Phone: (978) 977-4300
Fax: (978) 977-4313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 79065 Massachusetts

Profile Details

NPI number 1568440477
LBN Legal business name Ganim, Joann S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Oct 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568440477 NPPES
Massachusetts MEDICAID 3129004
Massachusetts Other PP842
Massachusetts Other 079065
Massachusetts Other J30907
Massachusetts Other 0011300

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