Individual
GARRETT GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N BROAD ST, PHILADELPHIA, PA 19121-3302
(571) 442-4150
Mailing address
1906 N 18TH ST UNIT A, PHILADELPHIA, PA 19121-3318
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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