Individual
DR. KENNETH MARK GRANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 MORRIS AVE, LONG BRANCH, NJ 07740-6619
(732) 229-2020
(732) 229-2255
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA059067
NJ
Other
Enumeration date
01/30/2007
Last updated
12/10/2013
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