Ellen M Gravallese in Worcester - Rheumatology
Ellen M Gravallese - NPI 1609866607
Ellen M Gravallese is a Rheumatology in Worcester, Massachusetts. Ellen M Gravallese practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Ellen M Gravallese is 1609866607. The last update date is 2010-12-09.
Ellen M Gravallese's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083345224. The mailing address for Ellen M Gravallese is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen M Gravallese |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083345224 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609866607 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2010-12-09 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083345224 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | 50113 |
|
Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3048497 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ellen M Gravallese by the Centers for Medicare & Medicaid Services?
The Ellen M Gravallese has been assigned the NPI (National Provider Identifier) 1609866607 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ellen M Gravallese?
The Ellen M Gravallese is physically situated at 55 Lake Ave N, in the city of Worcester, state of MA, with the postal code 16550002.
What is Ellen M Gravallese's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellen M Gravallese is Rheumatology, and the taxonomy code that categorizes this field of expertise is 207Rr0500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609866607 to Ellen M Gravallese?
The Centers for Medicare & Medicaid Services originally issued the 1609866607 to Ellen M Gravallese on 2005-10-21.
As of what date were the details related to Ellen M Gravallese most recently updated or revised?
The information pertaining to Ellen M Gravallese, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-09.
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