Granick, Mark

Granick, Mark is an sole proprietor health care provider with primary practice located at 140 Bergen Street E 1620, Newark NJ 19103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is his primary health care specialty. Granick, Mark can be contacted via phone (973) 972-8092.

Contact Information

Primary practice address
140 Bergen Street E 1620 Newark NJ 19103
Phone: (973) 972-8092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X MA72027 New Jersey
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X MA72027 New Jersey

Profile Details

NPI number 1235239328
LBN Legal business name Granick, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

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 1235239328 NPPES
New Jersey MEDICAID 6762409

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