Timothy D Grinnell in Brockton - Surgical
Timothy D Grinnell - NPI 1790828119
Timothy D Grinnell is a Surgical in Brockton, Massachusetts. Timothy D Grinnell practices all healthcare services and medical treatments related to Surgical. The NPI Number for Timothy D Grinnell is 1790828119. The last update date is 2016-06-15.
Timothy D Grinnell's current location address is 110 Liberty St, Brockton, Massachusetts. You can contact this provider via phone number 5085653055 and fax number 5088940757. The mailing address for Timothy D Grinnell is 110 Liberty St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy D Grinnell |
|---|---|
| Address | 110 Liberty St, Brockton, Massachusetts |
| Phone Number | 5085653055 |
| Fax Number | 5088940757 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790828119 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
| Address | 110 Liberty St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015521 |
| Phone Number | 5085653055 |
| Fax Number | 5088940757 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | AP2274 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy D Grinnell by the Centers for Medicare & Medicaid Services?
The Timothy D Grinnell has been assigned the NPI (National Provider Identifier) 1790828119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Timothy D Grinnell is geographically located?
The Timothy D Grinnell is physically situated at the following location: 110 Liberty St, Brockton, MA, 23015521.
What is Timothy D Grinnell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy D Grinnell is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
When did Timothy D Grinnell receive its 1790828119 assignment?
The Timothy D Grinnell was assigned its 1790828119 on 2007-02-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Timothy D Grinnell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy D Grinnell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-15.