Doctor Name: | LISA GRANDERSON |
NPI Number: | 1508892324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 25MA05975500 |
Business Practice Address: | 446 Bellevue Ave Trenton, NJ - 086184502 |
Business Phone Number: | 6093944000 |
Business Fax Number: | 6098157814 |
Mailing Address: | P.o. Box 8500-1611, PHILADELPHIA |
State: | PA |
Postal Code: | 191780001 |
Phone Number: | 6098157815 |
Fax Number: | 6098157814 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MA05975500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |