Individual
BENJAMIN LAWRENCE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 CHARLES RIVER PLAZA, SUITE 404 OCCUPATIONAL HEALTH SERVICES, BOSTON, MA 02114-0000
(617) 724-3909
(617) 724-3944
Mailing address
165 CHARLES RIVER PLAZA, SUITE 404, BOSTON, MA 02114
(617) 724-3909
(617) 724-3944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN274235
MA
363LG0600X
Gerontology Nurse Practitioner
RN274235
MA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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