Individual
MR. WILLIAM M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
119 NEW ATHOL RD, ORANGE, MA 01364-9603
(978) 249-9033
(978) 249-9020
Mailing address
119 NEW ATHOL RD, ORANGE, MA 01364-9603
(978) 249-9033
(978) 249-9020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MA1430
MA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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