| NPI | 1902290901 |
|---|---|
| Doing Business As | GRANITE MEDICAL GROUP-LIBBEY |
| Entity Type | Organization |
| Authorized Contact | STEVE STRONGWATER President 617-559-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-06-20 |