Individual
ANTHONY JOHN GRANDELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5141 BROADWAY RM 1RW-097, NEW YORK, NY 10034-1159
(212) 932-4200
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
315323
NY
207V00000X
Obstetrics & Gynecology Physician
DR.0065863
CO
208M00000X
Hospitalist Physician
DR.0065863
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
03/15/2023
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