Growdon, John Herbert

Growdon, John Herbert is an individual health care provider with primary practice located at 15 Parkman St Neurology Associates Wac 835, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Growdon, John Herbert can be contacted via phone (617) 726-1728.

Contact Information

Primary practice address
15 Parkman St Neurology Associates Wac 835 Boston MA 02114-3117
Fax: (617) 726-4101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0023371 Massachusetts

Profile Details

NPI number 1407846686
LBN Legal business name Growdon, John Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 18 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 1407846686 NPPES
Massachusetts Other V06067 TUFTS HEALTH PLAN
Massachusetts Other B18187 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2016907 TUFTS HEALTH PLAN

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