Grant, Richard William

Grant, Richard William is an individual health care provider with primary practice located at 300 Ocean Ave # Rhc Revere Healthcare Center, Revere MA 02151-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grant, Richard William can be contacted via phone (781) 485-6000.

Contact Information

Primary practice address
300 Ocean Ave # Rhc Revere Healthcare Center Revere MA 02151-3675
Phone: (781) 485-6000
Fax: (781) 485-6391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 156401 Massachusetts

Profile Details

NPI number 1154392561
LBN Legal business name Grant, Richard William
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 15th, 2021 - about 3 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 1154392561 NPPES
Massachusetts MEDICAID 3200191
Massachusetts Other 156401
Massachusetts Other J21674

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