Individual
DR. JEROME E. GRANATO
Active
Individual
DR. JEROME E. GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD034385E
PA
207RC0000X
Cardiovascular Disease Physician
MD034385E
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD034385E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010268340008
—
PA
05
—
0086547000
—
WV
05
—
0134483
—
OH
Enumeration date
07/29/2005
Last updated
09/24/2008
Update your record
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