Individual
STEVEN ROY GRANDGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
(603) 695-2562
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
(603) 695-2562
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
6661
NH
2080P0214X
Pediatric Pulmonology Physician
6661
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001628
—
NH
Enumeration date
06/22/2006
Last updated
09/15/2011
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