Provider Demographics
NPI:1801855242
Name:GRANOWITZ, ERIC VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:VICTOR
Last Name:GRANOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22 ATWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4267
Mailing Address - Country:US
Mailing Address - Phone:413-582-9186
Mailing Address - Fax:413-923-9317
Practice Address - Street 1:22 ATWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4267
Practice Address - Country:US
Practice Address - Phone:413-582-9186
Practice Address - Fax:413-923-9317
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA71462207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease