Individual
FREDERICK DANIEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
59705
MA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
59705
MA
2085P0229X
Pediatric Radiology Physician
MD034356E
PA
2085R0202X
Diagnostic Radiology Physician
MD034356E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136965
—
MA
Enumeration date
01/08/2007
Last updated
05/01/2024
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