Individual
KELLY JO GRAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
Mailing address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
26NJ00888400
NJ
208VP0000X
Pain Medicine Physician
Primary
26NJ00888400
NJ
Other
Enumeration date
02/21/2019
Last updated
12/22/2021
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