Individual
DAVID GRANCAGNOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 PASSAIC AVE, WEST CALDWELL, NJ 07006-6408
(973) 575-7576
Mailing address
5033 W LINDSLEY RD, CEDAR GROVE, NJ 07009-1062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01019800
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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