Individual
ALEX RICHARD GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN10015288
MA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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