Individual
MARK GRANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 BERGEN STREET E, 1620, NEWARK, NJ 19103
(973) 972-8092
Mailing address
6 WESTMOUNT DR, LIVINGSTON, NJ 07039-4213
(973) 972-8092
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
MA72027
NJ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MA72027
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6762409
—
NJ
Enumeration date
09/25/2006
Last updated
09/11/2025
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