MARK GRANATA DPM NPI 1427103605

NPI Information

MARK GRANATA, DPM is a podiatrist in Newark, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARK GRANATA, DPM NPI is 1427103605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 CLINTON AVE
NEWARK, NJ
ZIP 07108-004
Phone: (973) 373-0955

The provider's authorized official is Mark Granata .
The authorized official title is Podiatrist and has the following contact phone number (973) 373-0955.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 9/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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