Organization
GARY B GRUNDY DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BRIAN GRUNDY D.C. (PRESIDENT)
(781) 986-4683
Entity
Organization
Contact information
Practice address
24 S MAIN ST, RANDOLPH, MA 02368-4821
(781) 986-4683
(781) 961-4504
Mailing address
24 S MAIN ST, RANDOLPH, MA 02368-4821
(781) 986-4683
(781) 961-4504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610422
—
MA
Enumeration date
07/31/2008
Last updated
07/31/2008
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