Organization
GRANADOS MEDICAL ASSOCIATES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICANOR GOMEZ GRANADOS M. D. (PRESIDENT)
(610) 779-4625
Entity
Organization
Contact information
Practice address
9 WYNDHAM HILL DR, READING, PA 19606-9575
(610) 779-4625
Mailing address
9 WYNDHAM HILL DR, READING, PA 19606-9575
(610) 779-4625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD014870E
PA
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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