Organization
GRANT N KO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT N KO MD (OWNER)
(201) 927-7599
Entity
Organization
Contact information
Practice address
343 E RIDGEWOOD AVE # 1F, RIDGEWOOD, NJ 07450-3301
(201) 927-7599
Mailing address
343 E RIDGEWOOD AVE # 1F, RIDGEWOOD, NJ 07450-3301
(201) 927-7599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06989400
NJ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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