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Individual

MRS. KRISTEN GRANDMAISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1543 NJ-27, SUITE 21, SOMERSET, NJ 08873
(732) 873-6863
Mailing address
1543 NJ-27, SUITE 21, SOMERSET, NJ 08873
(732) 873-6863

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006229
NY
363A00000X
Physician Assistant
Primary
25MP00348000
NJ

Other

Enumeration date
10/17/2014
Last updated
12/29/2025
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