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Contact Information

ANDREW A GRIMM, MD, PHD
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-856-3497
 Fax: 508-856-1245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREW A GRIMM · (Male)

NPI # 1417117482
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 06/13/2008
Last updated 02/23/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A116631
  • MA License # 236572
  • MA License # 265453
  • MO License # 2009026062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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