Individual
DR. JOSEPH J GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
159 SAMOSET ST, PLYMOUTH, MA 02360-4815
(508) 746-1990
(508) 746-2093
Mailing address
159 SAMOSET ST, PLYMOUTH, MA 02360-4815
(508) 746-1990
(508) 746-2093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0338605
—
MA
Enumeration date
08/16/2006
Last updated
12/04/2008
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