Organization
GROVER BAXLEY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA V SOUZA (BILLING AGENCY)
(508) 548-8989
Entity
Organization
Contact information
Practice address
51 OCEAN AVE, CATAUMET, MA 02534
(508) 563-5507
Mailing address
PO BOX 905, FALMOUTH, MA 02541-0905
(508) 548-8989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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