Individual
PAUL AARON GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8118
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8118
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
276279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04039185
—
NY
Enumeration date
06/23/2009
Last updated
01/13/2021
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