| NPI | 1427428978 |
|---|---|
| Doing Business As | GRANITE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL BURNES Interim Chief Executive Officer 617-559-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |