Granfone, Antonio

Granfone, Antonio is an individual health care provider with primary practice located at 300 Broadway Rhc Revere Health Center Broadway, Revere MA 02151-5035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Granfone, Antonio can be contacted via phone (781) 485-1000.

Contact Information

Primary practice address
300 Broadway Rhc Revere Health Center Broadway Revere MA 02151-5035
Phone: (781) 485-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48781 Massachusetts
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 48781 Massachusetts

Profile Details

NPI number 1073589628
LBN Legal business name Granfone, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 29th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073589628 NPPES
Massachusetts Other J05333 BCBS MA
Massachusetts MEDICAID 3010261 BCBS MA
Massachusetts Other 716085 BCBS MA

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