Individual
DR. SCOTT BRYAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M. BIOETHICS
Contact information
Practice address
826 MAIN ST STE 301, PHOENIXVILLE, PA 19460-4459
(610) 983-1028
Mailing address
258 LEVEL RD, COLLEGEVILLE, PA 19426-3453
(248) 259-4548
(888) 372-9871
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
288213
NY
208600000X
Surgery Physician
Primary
MD479667
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454451
—
NJ
05
—
04833309
—
NY
01
—
I20150312001346
MEDICARE PECOS
NJ
Enumeration date
07/10/2010
Last updated
12/23/2022
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