Individual
GREGORY WARYASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9338
(781) 487-4003
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-9338
(781) 487-4003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14895
RI
207X00000X
Orthopaedic Surgery Physician
Primary
265664
MA
207X00000X
Orthopaedic Surgery Physician
LP01925
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336469170
—
RI
Enumeration date
06/03/2010
Last updated
03/10/2026
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