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Individual

DAVID GRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
(401) 453-8220
Mailing address
125 METRO CENTER BOULEVARD, SUITE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261389
MA
2085R0202X
Diagnostic Radiology Physician
D61496
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD12005
RI

Other

Enumeration date
05/10/2006
Last updated
03/15/2024
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