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Contact Information

MARK JOHN GRANADA MD PA
9109 MIDDLEFORD RD
SEAFORD, DE19973
 Phone: 302-629-9483
 Fax: 302-628-3977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK JOHN GRANADA MD PA

NPI Number 1700953437
LBN Legal business name MARK JOHN GRANADA MD PA
Authorized official PATRICIA MITCHELL - (BILLING CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 12/27/2007 - About 18 years ago
Identifiers
DE License # C10001675
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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