Individual
MR. EDGAR GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 STUYVESANT AVE, UNION, NJ 07083-6023
(908) 851-0800
Mailing address
31 FAIRMOUNT AVE, EDISON, NJ 08820-2032
(732) 494-3763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01053100
NJ
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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