Individual
DR. CHRISTOPHER ASHBY GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
183RD ST. & 3RD AVE., BRONX, NY 10457-2594
(718) 960-6188
Mailing address
9 GRAMATAN CT, BRONXVILLE, NY 10708-3015
(914) 793-3552
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
170931-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246913
—
NJ
01
—
170931-1
LICENCE NUMBER
NY
Enumeration date
10/23/2006
Last updated
02/04/2011
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