Mark Granata, Dpm

NPI #1427103605 in Newark, New Jersey

Provider Information

NPI Number: 1427103605
Entity Type: Organization
Organization Name: Mark Granata, Dpm
Primary Specialty: Podiatrist
Enumeration Date: Jan 25, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 804 CLINTON AVE
City: Newark
State: New Jersey
ZIP Code: 07108-1004
Phone: (973) 373-0955

Authorized Official

Name: MARK GRANATA, DPM
Title: PODIATRIST
Phone: (973) 373-0955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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