Healthcare Provider Details

I. General information

NPI: 1831156215
Provider Name (Legal Business Name): NORMAN D GRACE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL DIVISION OF GASTROENTEROLOG
BOSTON MA
02115
US

IV. Provider business mailing address

75 FRANCIS ST BRIGHAM & WOMEN'S HOSPITAL DIVISION OF GASTROENTEROLOG
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-6389
  • Fax:
Mailing address:
  • Phone: 617-732-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number28355
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: