Groode, Justin Sanders

Groode, Justin Sanders is an individual health care provider with primary practice located at 372 Washington St Marino Center For Integrative Health, Wellesley MA 02481-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Groode, Justin Sanders can be contacted via phone (781) 235-5200.

Contact Information

Primary practice address
372 Washington St Marino Center For Integrative Health Wellesley MA 02481-6202
Phone: (781) 235-5200
Fax: (617) 682-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 243102 Massachusetts

Profile Details

NPI number 1114108438
LBN Legal business name Groode, Justin Sanders
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Sep 1st, 2011 - about 13 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 1114108438 NPPES
Massachusetts Other M21670 MEDICARE PROVIDER GROUP

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