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1861544280
GEORDIE GRANT
NEWARK, NJ
NPI
1861544280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA03641000)
Enumeration Date
2007-01-17
Last Update Date
2009-08-25
Business Address
-- GEORDIE GRANT M.D.
150 BERGEN ST LEVEL E
NEWARK, NJ 07103-2496
Phone number: 973-972-5787
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Mailing Address
-- GEORDIE GRANT M.D.
30 BERGEN ST ADMC 12 1205
NEWARK, NJ 07107-3000
Phone number:
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