Individual
KRISTA MARIE GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 FARMINGTON AVE, FARMINGTON, CT 06032-1901
(860) 837-7500
Mailing address
3333 BURNET AVE, ML 2015, CINCINNATI, OH 45229-3026
(513) 636-4222
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
1.072626
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.142209
OH
Other
Enumeration date
04/28/2016
Last updated
03/12/2024
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