Individual
BENJAMIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6649
CT
Other
Enumeration date
05/27/2024
Last updated
10/22/2024
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