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Individual

E JAMES GRUVER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8338
Mailing address
7 TANGLEWOOD RD, WELLESLEY, MA 02481-2615
(781) 235-5579
(781) 235-5579

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81065
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3188850
MA
Enumeration date
04/02/2006
Last updated
12/21/2007
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