Organization
BOSTONVA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ELLEN GRABER RNP (NURSE PRACTITIONER)
(508) 583-4500
Entity
Organization
Contact information
Practice address
940 BELMONT ST, 11PC, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST, 11PC, BROCKTON, MA 02301-5596
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
143788
MA
Other
Enumeration date
09/15/2006
Last updated
08/07/2008
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