Granich, Russ D.

Granich, Russ D. is an individual health care provider with primary practice located at 659 Tower Ave , Hartford CT 06112-1259. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Granich, Russ D. can be contacted via phone (860) 763-7600.

Contact Information

Primary practice address
659 Tower Ave Hartford CT 06112-1259
Phone: (860) 763-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G50400 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X G50400 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 067712 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G50400 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 067712 Connecticut

Profile Details

NPI number 1962580589
LBN Legal business name Granich, Russ D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962580589 NPPES
California MEDICAID 00G504000

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