MEDICARE: DANIA M DEGRACE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	249566	MA

General Provider Information

NPI Number	:	1861665879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIA M DEGRACE M.D.

Provider Business Mailing Address
First Line	:	960 MASSACHUSETTS AVE STE 2
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2690
Country	:	US
Telephone Number	:	617-414-5405
Fax Number	:	617-414-6031

Provider Business Practice Location Address
First Line	:	736 CAMBRIDGE ST FL 9
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2907
Country	:	US
Telephone Number	:	617-779-6500
Fax Number	:	617-779-6557

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	06/08/2026

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Directions to “ DANIA M DEGRACE M.D.” Practice Location

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