Individual
DR. DAVID B DEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 PLANTATION ST, GERIATRICS, WORCESTER, MA 01605-2038
(508) 852-0600
(508) 853-7149
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114830
—
MA
Enumeration date
12/07/2005
Last updated
03/19/2015
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