Grant, Masilo A.

Grant, Masilo A. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anesthesiology, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grant, Masilo A. can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Department Of Anesthesiology Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 252633 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 252633 Massachusetts

Profile Details

NPI number 1598929366
LBN Legal business name Grant, Masilo A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Nov 24th, 2020 - about 5 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 1598929366 NPPES
Massachusetts MEDICAID 110093743A

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