Individual
DR. MICHAEL JOHN GRANIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2600
(516) 574-3807
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77254
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
09/17/2024
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