Individual
MITCHELL GRANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 LEAVY DR, BEDFORD, NH 03110
(603) 472-7233
(603) 472-9188
Mailing address
25 LEAVY DR, BEDFORD, NH 03110
(603) 472-7233
(603) 472-9188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21764
NH
207Q00000X
Family Medicine Physician
RT-3294
NH
Other
Enumeration date
06/09/2018
Last updated
08/10/2021
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