Individual
DR. KEITH CASE GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 E NEW YORK AVENUE, SOMERS POINT, NJ 08244
(609) 653-3519
(609) 653-3247
Mailing address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3519
(609) 653-3247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07746000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061280
—
NJ
Enumeration date
03/31/2006
Last updated
05/28/2013
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