Active NPIIndividual provider

Dr. Suzanne M Grondin, DPM

Podiatrist in Worcester, Massachusetts

NPI Number1639217276
Practice location
123 Summer St, Suite 550, Worcester, MA 01608-1216
Fax
508-363-6866
Last updated
April 25, 2016

Suzanne Mattos Grondin is a Podiatrist based in Worcester, MA. Suzanne Mattos Grondin practices in Worcester, MA and has the professional credentials of DPM. The NPI Number for Suzanne Mattos Grondin is 1639217276 and holds a License No. 2319 (MA). The current practice location address for Suzanne Mattos Grondin is 123 Summer St, Suite 550, Worcester, MA 01608-1216 and can be reached out via phone at 508-363-6868 and via fax at 508-363-6866.

Provider Profile Details

NPI Number
1639217276
Provider Name
Suzanne Mattos Grondin
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
123 Summer St, Suite 550, Worcester, MA 01608-1216
Phone Number
508-363-6868
Fax Number
508-363-6866
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Other Names
Dr. Suzanne Marie Mattos, DPM (Former Name)
Provider Enumeration Date
February 4, 2007
Last Update Date
April 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St
Suite 550
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-363-6868
Fax Number
508-363-6866
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St
Suite 550
Worcester, MA 01608-1216
City
Worcester
State
MA
Zip
01608-1216
Phone Number
508-363-6868
Fax Number
508-363-6866

License Information

License Number
2319
License State
MA
Taxonomy
Podiatrist · 213E00000X · 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. Suzanne M Grondin, DPM?

The NPI number of Dr. Suzanne M Grondin, DPM is 1639217276. It was assigned on February 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Suzanne M Grondin, DPM?

Dr. Suzanne M Grondin, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number 2319.

Where does Dr. Suzanne M Grondin, DPM practice?

The practice location is 123 Summer St, Suite 550, Worcester, MA 01608-1216. The office can be reached at 508-363-6868 (phone) or 508-363-6866 (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 1639217276 directly on the NPPES registry website.

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