Individual
DR. SUZANNE MATTOS GRONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
123 SUMMER ST, SUITE 550, WORCESTER, MA 01608-1216
(508) 363-6868
(508) 363-6866
Mailing address
123 SUMMER ST, SUITE 550, WORCESTER, MA 01608-1216
(508) 363-6868
(508) 363-6866
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2319
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711772
—
MA
01
—
121815
FALLON HEALTH PLAN
MA
01
—
466883
TUFTS HEALTH PLAN
MA
01
—
AA84858
HARVARD PILGRIM HEALTH
MA
01
—
Y71137
BLUE SHEILD OF MA
MA
Enumeration date
02/04/2007
Last updated
04/25/2016
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