GRANT SEWELL

FREEHOLD, NJ
NPI1063897023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  34294)
Enumeration Date2015-07-20
Last Update Date2019-07-02
Business Address
GRANT SEWELL MD
1001 W MAIN ST STE B
FREEHOLD, NJ 07728-2579
Phone number: 732-294-2540
Mailing Address
GRANT SEWELL MD
38014 E 113TH ST S
COWETA, OK 74429-3641
Phone number: 918-606-4312
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