Individual
DR. KIA CALHOUN GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2333 MORRIS AVE, SUITE B18, UNION, NJ 07083-5714
(908) 810-8551
(908) 810-8661
Mailing address
PO BOX 95000 LB# 7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA70103
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480907
—
NJ
Enumeration date
08/19/2006
Last updated
02/12/2018
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