Individual
DIANNE E GRUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9513
Mailing address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9513
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
290315
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
69279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06432292
—
MS
01
—
P01713164
RAILROAD MEDICARE PTAN
MS
Enumeration date
03/19/2010
Last updated
09/26/2024
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