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GRANITE MEDICAL GROUP INC NPI 1659372902


NPI Information

NPI: 1659372902
Provider Name: GRANITE MEDICAL GROUP INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
500 CONGRESS ST
QUINCY, MA
ZIP 02169
Phone: (617) 471-0033
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GRANITE MEDICAL GROUP INC is an adult medicine family medicine in Quincy, MA. The provider is definition to come. GRANITE MEDICAL GROUP INC NPI is 1659372902. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

500 CONGRESS ST
QUINCY, MA
ZIP 02169-908
Phone: (617) 471-0033
Fax: (617) 770-4354

The provider's authorized official is Laura Murphy .
The authorized official title is Administrative and has the following contact phone number (617) 471-0033.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M20353MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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