Individual
DR. SOPHIA Z GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 489-4144
(860) 489-4412
Mailing address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 689-0026
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
039434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001394345
—
CT
Enumeration date
06/16/2006
Last updated
06/30/2014
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