Sparks, Mary Granese

Sparks, Mary Granese is an individual health care provider with primary practice located at 175 North Beacon St , Watertown MA 02472. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sparks, Mary Granese can be contacted via phone (617) 924-3434.

Contact Information

Primary practice address
175 North Beacon St Watertown MA 02472
Phone: (617) 924-3434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1881286433
LBN Legal business name Sparks, Mary Granese
Credentials TVI
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2021
Last updated Feb 5th, 2021 - about 4 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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