Individual
BRADFORD D GRANGER
Active
Individual
BRADFORD D GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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