Individual
MARC A GRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4646
(610) 954-6450
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4646
(610) 954-6450
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD027101E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00940604
—
PA
Enumeration date
06/15/2006
Last updated
07/08/2014
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