Individual
GANNON MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(651) 789-3000
Mailing address
170 PARKER HILL AVE APT 5, BOSTON, MA 02120-2855
(320) 237-0038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
280854
MA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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