Individual
EDWARD WILSON GRANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MED
Contact information
Practice address
185 PILGRIM RD, BOSTON, MA 02215-5324
(508) 783-1480
Mailing address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-7755
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
248050
MA
207RC0000X
Cardiovascular Disease Physician
248050
MA
Other
Enumeration date
05/30/2008
Last updated
10/10/2017
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