Individual
JONATHAN S. GRAYZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72 POINTE ROK DR, WORCESTER, MA 01604-1467
(508) 334-1000
Mailing address
72 POINTE ROK DR, WORCESTER, MA 01604-1467
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148971
—
MA
Enumeration date
11/23/2005
Last updated
07/29/2011
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