Graduated: 1995
Offers telehealth
NPI: 1598878910
Practice Locations (2)
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
59 KOCH AVE
MORRIS PLAINS, NJ 079504400
9735381800
MANICKAM GANESH MD PA
24 PARK AVE
WEST ORANGE, NJ 070525553
9736698181
Source: CMS National Downloadable File, September 2026.