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Individual

NICHOLAS P GRIGORIEFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 MAIN ST, SUITE 8, CONCORD, MA 01742-3313
(978) 371-1684
(978) 371-7504
Mailing address
801 MAIN ST, SUITE 8, CONCORD, MA 01742-3313
(978) 371-1684
(978) 371-7504

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
NOT APPLICABLE
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1531484
MA
05
30003020
NH
01
700626
HARVARD PILGRIM
MA
01
96949701
NETWORK HEALTH
MA
Enumeration date
01/30/2007
Last updated
10/25/2007
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