Cibotti Granof, Nancy
Cibotti Granof, Nancy is an sole proprietor health care provider with primary practice located at 287 Middlesex Ave , Medford MA 02155-5056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cibotti Granof, Nancy can be contacted via phone (781) 222-3033.Contact Information
Primary practice address
287 Middlesex Ave
Medford MA 02155-5056
Phone: (781) 222-3033
Fax: (781) 281-9927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80891 | Massachusetts |
Profile Details
| NPI number | 1336120815 |
|---|---|
| LBN Legal business name | Cibotti Granof, Nancy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Dec 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336120815 | NPPES |
| Massachusetts | Other | 080891 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3136922 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J31154 | TUFTS HEALTH PLAN |
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