Individual
ELIZABETH R GRAVES-WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CENTRE ST, NEWTON CENTRE, MA 02459-2454
(617) 244-9929
(617) 244-9935
Mailing address
1400 CENTRE ST, NEWTON CENTRE, MA 02459-2454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1493
MA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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