Edwin Charles Gravereaux in Boston - Vascular Surgery

Edwin Charles Gravereaux - NPI 1376500751

Edwin Charles Gravereaux is a Vascular Surgery in Boston, Massachusetts. Edwin Charles Gravereaux practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Edwin Charles Gravereaux is 1376500751. The last update date is 2014-11-10.

Edwin Charles Gravereaux's current location address is 75 Francis St, Boston, Massachusetts. You can contact this provider via phone number 6177326816. The mailing address for Edwin Charles Gravereaux is 75 Francis St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Edwin Charles Gravereaux
Address 75 Francis St, Boston, Massachusetts
Phone Number 6177326816
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376500751
Provider Enumeration Date 2006-04-28
Last Updated Date 2014-11-10

Provider Mailing Address Detail

Address 75 Francis St
City Boston
State Massachusetts (MA)
Post Code 2115
Phone Number 6177326816
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 155441
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Edwin Charles Gravereaux

What is the unique 10-digit identifier code issued to Edwin Charles Gravereaux by the Centers for Medicare & Medicaid Services?

The Edwin Charles Gravereaux has been assigned the NPI (National Provider Identifier) 1376500751 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Edwin Charles Gravereaux is located?

The Edwin Charles Gravereaux is situated at the following address: 75 Francis St, Boston, MA, 2115.

What is Edwin Charles Gravereaux's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Edwin Charles Gravereaux is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.

When was the Edwin Charles Gravereaux's 1376500751 issued?

The Edwin Charles Gravereaux's 1376500751 was issued on 2006-04-28.

When was the information pertaining to Edwin Charles Gravereaux most recently updated or revised?

The details related to Edwin Charles Gravereaux, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-10.

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