Organization
CENTRAL AVENUE PODIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRANATA DPM (PRESIDENT)
(201) 653-1949
Entity
Organization
Contact information
Practice address
342 CENTRAL AVE, JERSEY CITY, NJ 07307-2918
(201) 653-1949
(201) 653-1997
Mailing address
342 CENTRAL AVE, JERSEY CITY, NJ 07307-2918
(201) 653-1949
(201) 653-1997
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD001857
NJ
Other
Enumeration date
09/29/2006
Last updated
02/16/2012
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