Individual
DR. TARA GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
231 BELMONT ST, BELMONT, MA 02478-3607
(617) 484-1414
Mailing address
231 BELMONT ST, BELMONT, MA 02478-3607
(617) 484-1414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5032
MA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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