Individual
DR. JUAN C GRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1115 GLOBE AVE, MOUNTAINSIDE, NJ 07092-2903
(908) 561-8888
(908) 222-3481
Mailing address
35 MARY ELLEN DR, EDISON, NJ 08820-1108
(908) 591-3882
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
18202
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153371
—
NJ
05
—
0540471
—
NJ
Enumeration date
09/11/2017
Last updated
06/24/2019
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