Individual
GRANT WEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, DEPT. OF EMERGENCY MEDICINE, BROCKTON, MA 02302-3308
(508) 941-7400
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
224370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180092
—
NJ
Enumeration date
07/09/2006
Last updated
02/27/2009
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