Individual
LAURA GRANGEIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6679
(215) 456-8502
Mailing address
1215 LEE ST, BOX 800696, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5725
(434) 982-4414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD454902
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2011
Last updated
07/01/2015
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