Individual
MR. BERTRAM J GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.O.
Contact information
Practice address
734 NEWPORT AVE, ATTLEBORO, MA 02703-5935
(508) 761-6100
(508) 761-5500
Mailing address
734 NEWPORT AVE, ATTLEBORO, MA 02703-5935
(508) 761-6100
(508) 761-5500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4800
MA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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