Individual
DR. GRANT ELDRIDGE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8000
Mailing address
405 FAIRMONT RD, WESTOVER, WV 26501-4227
(304) 296-2547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP0010179
WV
207P00000X
Emergency Medicine Physician
Primary
MT227370
PA
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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