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1487231403
GRANT CORONICA
BRICK, NJ
NPI
1487231403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MA12141600)
Enumeration Date
2021-03-25
Last Update Date
2024-07-31
Business Address
GRANT CORONICA MD
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-840-2200
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Mailing Address
GRANT CORONICA MD
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number:
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