Organization
MARK JOHN GRANADA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MITCHELL (BILLING CLERK)
(302) 629-9483
Entity
Organization
Contact information
Practice address
9109 MIDDLEFORD RD, SEAFORD, DE 19973
(302) 629-9483
(302) 628-3977
Mailing address
PO BOX 913, SEAFORD, DE 19973-0913
(302) 629-9483
(302) 628-3977
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C10001675
DE
Other
Enumeration date
11/29/2006
Last updated
12/27/2007
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