Individual
GRANT ARZUMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 MECHANIC ST STE 105, RED BANK, NJ 07701-1852
(732) 455-8640
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MB11127000
NJ
207T00000X
Neurological Surgery Physician
OS022769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15956603
CAQH
—
Enumeration date
04/28/2016
Last updated
07/10/2024
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