Individual
GRANT KEENAN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SMS
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6888
Mailing address
70 VALLEY VIEW TRL, SPARTA, NJ 07871-1310
(862) 354-1329
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
05/08/2025
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