Individual
ALISON THERESE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1865 ROUTE 70 E STE 210, CHERRY HILL, NJ 08003-2005
(856) 427-4336
Mailing address
1865 ROUTE 70 EAST, STE 210, CHERRY HILL, NJ 08003-2013
(215) 662-8978
(215) 662-5940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10274300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201235530
—
IN
01
—
P01424350
RR MEDICARE
—
Enumeration date
06/20/2011
Last updated
09/20/2018
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