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Individual

TIMOTHY D GRINNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
840 WINTER ST, WALTHAM, MA 02451-1433
(781) 890-2133
(781) 890-2177
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 565-3055
(508) 894-0757

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2274
MA

Other

Enumeration date
02/15/2007
Last updated
11/05/2024
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