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NPI Code Detail

MEDICARE: DAVID A GRANGER M.D.

MEDICARE: DAVID A GRANGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianD0064297MD

General Provider Information

NPI Number : 1124139233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A GRANGER M.D.
Provider Business Mailing Address
First Line : 19735 GERMANTOWN RD
Second Line : SUITE 200
City : GERMANTOWN
State : MD
Zip : 20874-1214
Country : US
Telephone Number : 301-540-0811
Fax Number : 301-540-0865
Provider Business Practice Location Address
First Line : 19735 GERMANTOWN RD
Second Line : SUITE 200
City : GERMANTOWN
State : MD
Zip : 20874-1214
Country : US
Telephone Number : 301-540-0811
Fax Number : 301-540-0865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID A GRANGER M.D.” Practice Location

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