Active NPIIndividual provider

Dr. Avi J Grunin, MD

Pediatrics, Sports Medicine in Dedham, Massachusetts

NPI Number1215195318
Practice location
1 Lyons St, Dedham, MA 02026-5599
Fax
781-461-9349
Last updated
February 17, 2021

Avi J Grunin is a Pediatrics, Sports Medicine based in Dedham, MA. Avi J Grunin practices in Dedham, MA and has the professional credentials of MD. The NPI Number for Avi J Grunin is 1215195318 and holds a License No. 244421 (NY). The current practice location address for Avi J Grunin is 1 Lyons St, Dedham, MA 02026-5599 and can be reached out via phone at 617-654-7111 and via fax at 781-461-9349.

Provider Profile Details

NPI Number
1215195318
Provider Name
Avi J Grunin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Lyons St, Dedham, MA 02026-5599
Phone Number
617-654-7111
Fax Number
781-461-9349
Primary Taxonomy
Pediatrics, Sports Medicine · 2080S0010X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2008
Last Update Date
February 17, 2021
Certification Date
February 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Lyons St
Dedham, MA 02026-5599
City
Dedham
Zip
02026-5599
Phone Number
617-654-7111
Fax Number
781-461-9349
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
1 Lyons St
Dedham, MA 02026-5599
City
Dedham
State
MA
Zip
02026-5599
Phone Number
617-654-7111
Fax Number
781-461-9349

License Information

License Number (1)
244421
License State (1)
NY
Taxonomy (1)
Pediatrics, Pediatric Pulmonology · 2080P0214X
License Number (2)
243114
License State (2)
MA
Taxonomy (2)
Pediatrics, Sports Medicine · 2080S0010X · 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. Avi J Grunin, MD?

The NPI number of Dr. Avi J Grunin, MD is 1215195318. It was assigned on May 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Avi J Grunin, MD?

Dr. Avi J Grunin, MD is registered under the primary taxonomy Pediatrics, Sports Medicine (code 2080S0010X), licensed in NY under license number 244421.

Where does Dr. Avi J Grunin, MD practice?

The practice location is 1 Lyons St, Dedham, MA 02026-5599. The office can be reached at 617-654-7111 (phone) or 781-461-9349 (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 1215195318 directly on the NPPES registry website.

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