Individual
DR. JOANNES M GREVELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114
(617) 722-4100
(617) 227-1134
Mailing address
30 LANCASTER STREET, SUITE 400, BOSTON, MA 02114
(617) 722-4100
(617) 227-1134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60705
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060705
TUFTS HEALTH PLAN
MA
05
—
3057623
—
MA
01
—
J08910
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
05/13/2019
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