Individual
GRANT COMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 FEDERAL ST FL 7, BOSTON, MA 02110-1703
(617) 350-0080
Mailing address
25 CRESCENT ST APT 344, WALTHAM, MA 02453-4390
(203) 804-6334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101758
CT
163W00000X
Registered Nurse
Primary
RN2311503
MA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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