Individual
DR. JONATHAN DEWITT GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MS
Contact information
Practice address
750 WASHINGTON ST, DEPARTMENT OF ANESTHESIA, NEW ENGLAND MEDICAL CENTER, BOSTON, MA 02111-1526
(617) 636-0081
(617) 636-8384
Mailing address
DEPARTMENT OF ANESTHESIOLOGY, BOX 298, T-NEMC, 750 WASHINGTON ST., BOSTON, MA 02111
(617) 636-6044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
53973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3027716
—
MA
Enumeration date
05/10/2006
Last updated
08/15/2007
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