Organization
GOLDING GRANADO MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M GOLDING-GRANADO MD (OWNER)
(732) 380-6010
Entity
Organization
Contact information
Practice address
GOLDING GRANADO MEDICAL ASSOCIATES, 179 AVENUE AT THE COMMONS SUITE 101, SHREWSBURY, NJ 07702
(732) 380-6010
(732) 380-6012
Mailing address
179 AVENUE AT THE COMMONS, SUITE 101, SHREWSBURY, NJ 07702
(732) 380-6010
(732) 380-6012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207QA0505X
Adult Medicine Physician
—
NJ
207R00000X
Internal Medicine Physician
Primary
—
NJ
207RG0100X
Gastroenterology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8254605
—
NJ
Enumeration date
09/12/2007
Last updated
05/02/2023
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