Individual
DR. ALEXANDER BRIAN GRANOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
399 DW HWY, MERRIMACK, NH 03054-4112
(603) 429-1611
(603) 429-1285
Mailing address
399 DW HWY, MERRIMACK, NH 03054-4112
(603) 429-1611
(603) 429-1285
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11273
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011273
TUFTS HEALTH PLAN
MA
01
—
01Y003248NH01
ANTHEM BLUE CROSS
NH
05
—
30201524
—
NH
Enumeration date
04/04/2006
Last updated
05/07/2009
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