Individual
MICHELLE GRUTTADAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4379
(781) 744-5100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-4379
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1020992
MA
207V00000X
Obstetrics & Gynecology Physician
MD61258679
WA
207VG0400X
Gynecology Physician
1020992
MA
Other
Enumeration date
03/26/2018
Last updated
11/06/2024
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