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Organization

STEVEN M GRANT DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN M GRANT DPM (OWNER)
(856) 237-8080
Entity
Organization

Contact information

Practice address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8080
(856) 740-0367
Mailing address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8080
(856) 740-0367

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD002121
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5198500
NJ
Enumeration date
02/13/2008
Last updated
02/13/2008
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