Individual
CHARLES E GRANATIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
586 KEARNY AVE, KEARNY, NJ 07032-2806
(201) 997-7667
(201) 997-3324
Mailing address
586 KEARNY AVE, KEARNY, NJ 07032-2806
(201) 997-7667
(201) 997-3324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA047062
NJ
Other
Enumeration date
09/20/2006
Last updated
10/30/2008
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