Individual
ALEXANDER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W MAIN ST STE 16, WYCKOFF, NJ 07481-1406
(201) 847-9320
(201) 847-0059
Mailing address
16 GROVE AVE, CEDAR GROVE, NJ 07009-1452
(401) 714-7972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10348500
NJ
Other
Enumeration date
04/14/2014
Last updated
02/11/2020
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