Individual
ELAINE W GRUNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 LOCUST AVE, LEXINGTON, MA 02421-5803
(781) 674-1343
Mailing address
11 LOCUST AVE, LEXINGTON, MA 02421-5803
(781) 674-1343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60512
MA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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