Grant, Windy Gussie Jose
Grant, Windy Gussie Jose is an individual health care provider with primary practice located at 3401 Civic Center Blvd Division Of Adolescent Medicine, Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Grant, Windy Gussie Jose can be contacted via phone (215) 590-7430.Contact Information
Primary practice address
3401 Civic Center Blvd Division Of Adolescent Medicine
Philadelphia PA 19104
Phone: (215) 590-7430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MT224851 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD478834 | Pennsylvania |
Profile Details
| NPI number | 1245895937 |
|---|---|
| LBN Legal business name | Grant, Windy Gussie Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2019 |
| Last updated | Apr 11th, 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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