Organization
GRODEN EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M GRODEN MD (MEDICAL DOCTOR)
(781) 769-0987
Entity
Organization
Contact information
Practice address
13 E HOYLE ST, NORWOOD, MA 02062-3405
(781) 769-0987
(781) 769-0962
Mailing address
13 E HOYLE ST, NORWOOD, MA 02062-3405
(781) 769-0987
(781) 769-0962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42474
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601393
TUFTS
MA
05
—
9704311
—
MA
01
—
C21043
BLUE SHIELD
MA
Enumeration date
06/22/2005
Last updated
03/20/2015
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