Individual
DR. ANDREW A GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-3497
(508) 856-1245
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009026062
MO
208000000X
Pediatrics Physician
265453
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
265453
MA
2080P0206X
Pediatric Gastroenterology Physician
A116631
CA
390200000X
Student in an Organized Health Care Education/Training Program
236572
MA
Other
Enumeration date
06/13/2008
Last updated
02/23/2016
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