Individual
GRAHAM WILLIAM SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-1576
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-1576
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L-231694
MA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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