Individual
MASILO A. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
252633
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
252633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093743A
—
MA
Enumeration date
07/10/2008
Last updated
11/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us