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Dr. Patricia Ellen Grant, MD
Diagnostic Radiology Physician in Boston, Massachusetts
NPI 1043242704

Patricia Ellen Grant is a Diagnostic Radiology Physician based in Charlestown, MA and is specialized in Diagnostic Radiology. Patricia Ellen Grant practices in Boston, MA and has the professional credentials of MD. The NPI Number for Patricia Ellen Grant is 1043242704 and holds a License No. 157846 (Massachusetts).

The current practice location address for Patricia Ellen Grant is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-4049 and via fax at 617-724-3338. You can also correspond with Patricia Ellen Grant through the mailing address at PO BOX 9142, CHARLESTOWN, MA - 02129-9142 (mailing address contact number: 617-724-0287).

Location: 55 Fruit St, Boston, MA, 02129-9142
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Provider Profile Details
NPI Number
1043242704
Provider Name
Patricia Ellen Grant
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02129-9142
Phone Number
617-726-4049
Fax Number
617-724-3338
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J19320 01 MA BCBS MA
157846 01 MA TUFTS HEALTH PLAN
3184196 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-4049
Fax Number
617-724-3338
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-4049
Fax Number
617-724-3338
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
157846 (Massachusetts)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
157846 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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