Individual
GENEROSA GRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 COOPER PLZ, 400 HADDON AVE, CAMDEN, NJ 08103-1461
(855) 632-2667
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 325-6777
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA61041
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0475836
AETNA
—
01
—
0730477000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
1024736
HORIZON NJ HEALTH
—
01
—
110098669
RR MEDICARE
—
01
—
1303851
UNITED HEALTHCARE
—
01
—
3K5922
HEALTHNET
—
01
—
502550
PENNSYLVANIA BLUE SHIELD
PA
05
—
5221609
—
NJ
01
—
6847834
CIGNA
—
01
—
P438092
OXFORD
—
Enumeration date
08/30/2006
Last updated
10/29/2020
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