Individual
BRADFORD D GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 HARRISBURG PIKE, SUITE 100, LANCASTER, PA 17604-3200
(717) 544-3191
(717) 544-3637
Mailing address
2110 HARRISBURG PIKE, SUITE 100, LANCASTER, PA 17604-3200
(717) 544-3191
(717) 544-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD421982
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019597180001
—
PA
01
—
1130420
AETNA HMO
PA
01
—
1441611
HIGHMARK BLUE SHIELD
PA
01
—
1531655
GATEWAY HEALTH PLAN
PA
01
—
50012584
CAPITAL BLUE CROSS
PA
01
—
7684425
AETNA NON-HMO
PA
01
—
83116 S1QA
GEISINGER HEALTH PLAN
PA
01
—
H67285
HEALTH ASSURANCE
PA
01
—
P00065632
RAILROAD MEDICARE
PA
01
—
P004950
GATEWAY HEALTH PLAN
PA
Enumeration date
10/18/2005
Last updated
09/05/2007
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