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1790828119
TIMOTHY D GRINNELL
WALTHAM, MA
NPI
1790828119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA2274)
Enumeration Date
2007-02-15
Last Update Date
2024-11-05
Business Address
TIMOTHY D GRINNELL PA-C
840 WINTER ST
WALTHAM, MA 02451-1433
Phone number: 781-890-2133
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Mailing Address
TIMOTHY D GRINNELL PA-C
110 LIBERTY ST
BROCKTON, MA 02301-5521
Phone number: 508-565-3055
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