Provider Demographics
NPI:1750026225
Name:GRIFFIN POPULATION ANALYTIC PC
Entity Type:Organization
Organization Name:GRIFFIN POPULATION ANALYTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:862-380-7960
Mailing Address - Street 1:1201 HADDON AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3105
Mailing Address - Country:US
Mailing Address - Phone:862-380-7960
Mailing Address - Fax:833-913-2376
Practice Address - Street 1:1201 HADDON AVE # 2
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3105
Practice Address - Country:US
Practice Address - Phone:862-380-7960
Practice Address - Fax:833-913-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty