Individual
GRANT PAUL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7500
Mailing address
1035 CAMBRIDGE ST STE 26, CAMBRIDGE, MA 02141-1154
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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