Individual
OLIVIA SHANEE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5100
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(018) 254-5100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11517200
NJ
Other
Enumeration date
04/02/2019
Last updated
02/03/2023
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