Individual
DR. STEVEN MICHAEL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8080
(856) 740-0367
Mailing address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 237-8080
(856) 740-0367
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00212100
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00212100
NJ
213ER0200X
Radiology Podiatrist
25MD00212100
NJ
213ES0000X
Sports Medicine Podiatrist
25MD00212100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00212100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5198500
—
NJ
Enumeration date
12/18/2006
Last updated
10/17/2008
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