Active NPIIndividual provider

Dr. Richard W Grant, MD MPH

Internal Medicine in Revere, Massachusetts

NPI Number1154392561
Practice location
300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675
Fax
781-485-6391
Last updated
December 15, 2021

Richard William Grant is an Internal Medicine based in Revere, MA. Richard William Grant practices in Revere, MA and has the professional credentials of MD MPH. The NPI Number for Richard William Grant is 1154392561 and holds a License No. 156401 (MA). The current practice location address for Richard William Grant is 300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6000 and via fax at 781-485-6391.

Provider Profile Details

NPI Number
1154392561
Provider Name
Richard William Grant
Credential
MD MPH
Provider Entity Type
Individual
Gender
Male
Address
300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675
Phone Number
781-485-6000
Fax Number
781-485-6391
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
February 1, 2006
Last Update Date
December 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave # Rhc
Revere Healthcare Center
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-485-6000
Fax Number
781-485-6391
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
Po Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
City
Charlestown
State
MA
Zip
02129-9142
Phone Number
617-724-0287
Fax Number
617-726-2894

License Information

License Number
156401
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Richard W Grant, MD MPH?

The NPI number of Dr. Richard W Grant, MD MPH is 1154392561. It was assigned on February 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard W Grant, MD MPH?

Dr. Richard W Grant, MD MPH is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 156401.

Where does Dr. Richard W Grant, MD MPH practice?

The practice location is 300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675. The office can be reached at 781-485-6000 (phone) or 781-485-6391 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154392561 directly on the NPPES registry website.

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