Individual
DR. DONALD J. GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 MONTVALE AVE STE 3000, STONEHAM, MA 02180-3658
(781) 438-6350
(781) 395-4806
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(781) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37135
MA
207N00000X
Dermatology Physician
15753
NH
207N00000X
Dermatology Physician
Primary
37135
MA
207ND0101X
MOHS-Micrographic Surgery Physician
15753
NH
207ND0101X
MOHS-Micrographic Surgery Physician
37135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164186
—
MA
Enumeration date
03/03/2006
Last updated
10/14/2025
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