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Individual

DR. ANITA M GRASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
50 STANIFORD ST, SUITE 250, BOSTON, MA 02114-2517
(617) 724-6960
(617) 724-6970
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-6960
(617) 724-6970

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71817
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
715913
TUFTS HEALTH PLAN
MA
01
J09537
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
09/07/2012
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