# EDWARD WILSON GRANDIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609034230
- **Gender:** Man
- **Credential:** MD, MPH, MED

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 248050 | MA | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 248050 | MA | — |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 10/10/2017