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Individual

DR. ELEONORE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(607) 339-9194
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1.082247-RES
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/29/2022
Last updated
07/07/2025
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