Individual
DR. BRIDGET GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE ATWELL RD, COOPERSTOWN, NY 13326-0725
(607) 547-6542
(607) 547-7662
Mailing address
ONE ATWELL RD, COOPERSTOWN, NY 13326-0725
(607) 547-6542
(607) 547-7662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60 275670
NY
Other
Enumeration date
06/08/2009
Last updated
10/29/2014
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