Individual
BRIAN F GRODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
Mailing address
81 HAWTHORN ST # R, NEW BEDFORD, MA 02740-3429
(508) 961-2403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074013
—
MA
Enumeration date
03/14/2006
Last updated
12/14/2011
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