Doctor Name: | CHARLES E GRANATIR |
NPI Number: | 1740388545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MA047062 |
Business Practice Address: | 586 Kearny Ave Kearny, NJ - 070322806 |
Business Phone Number: | 2019977667 |
Business Fax Number: | 2019973324 |
Mailing Address: | 586 Kearny Ave, KEARNY |
State: | NJ |
Postal Code: | 070322806 |
Phone Number: | 2019977667 |
Fax Number: | 2019973324 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA047062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |