NPI Profile for GRANITE MEDICAL GROUP INC in QUINCY, MA.
The NUCC recommends this code not be used. Choose a more appropriate code.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1659372902 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/09/2005 | |
| Last updated | 11/05/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GRANITE MEDICAL GROUP INC
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