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Individual

DR. RICHARD L GROTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 PEARL ST, SUITE 2700, BROCKTON, MA 02301-2864
(508) 584-4104
(508) 584-4105
Mailing address
1350 BELMONT ST, SUITE 102, BROCKTON, MA 02301-4430
(774) 776-2991
(774) 776-2996

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77137
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013819
NEIGHBORHOOD HEALTH
MA
01
14-00003
UNITED HEALTHCARE
MA
01
29256
HARVARD PILGRIM
MA
01
300852540
HEALTHNET
MA
05
3109950
MA
01
454450
AETNA HEALTHCARE
MA
01
77137
TUFTS PROV#
MA
01
GRJ13652
BLUE CROSS BLUE SHIELD
MA
01
P00092280
RR MEDICARE
MA
Enumeration date
03/15/2006
Last updated
08/15/2016
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