person
Phillip Thomas Grisdela JR.
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1326508805

Phillip Thomas Grisdela JR. is a Student in an Organized Health Care Education/Training Program based in Los Angeles, MA. Phillip Thomas Grisdela JR. practices in Boston, MA. The NPI Number for Phillip Thomas Grisdela JR. is 1326508805 and holds a License No. (Massachusetts).

The current practice location address for Phillip Thomas Grisdela JR. is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-2942.

Location: 55 Fruit St, Boston, MA, 90027-2323
person
Provider Profile Details
NPI Number
1326508805
Provider Name
Phillip Thomas Grisdela JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 90027-2323
Phone Number
617-726-2942
Fax Number
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2942
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-726-2942
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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