MARK JOHN GRANADA

SEAFORD, DE
NPI1275696718
Former NameMARGARITO G GRANADA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: DE  CI0001675)
Additional Taxonomies207R00000X Internal Medicine
(Licence: DE  C1-0001675)
Enumeration Date2006-12-18
Last Update Date2011-11-29
Business Address
-- MARK JOHN GRANADA MD
9109 MIDDLEFORD ROAD
SEAFORD, DE 19973
Phone number: 302-629-9483
Mailing Address
-- MARK JOHN GRANADA MD
PO BOX 913
SEAFORD, DE 19973-0913
Phone number: 302-629-9483