Individual
DR. ROBERT F. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 WOODLAND AVE, PHILADELPHIA, PA 19143-5607
(215) 724-4700
(215) 724-3111
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
039167
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD448546
PA
Other
Enumeration date
03/16/2009
Last updated
11/11/2016
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