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1164569257
KENNETH MARK GRANET
LONG BRANCH, NJ
NPI
1164569257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ MA059067)
Enumeration Date
2007-01-30
Last Update Date
2013-12-10
Business Address
Dr. KENNETH MARK GRANET M.D.
166 MORRIS AVE
LONG BRANCH, NJ 07740-6619
Phone number: 732-229-2020
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Mailing Address
Dr. KENNETH MARK GRANET M.D.
PO BOX 8000 DEPT 596
BUFFALO, NY 14267-0002
Phone number: 866-295-0041
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