Healthcare Provider Details

I. General information

NPI: 1295702793
Provider Name (Legal Business Name): HOLCOMBE E GRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY ST ROOM G350
BOSTON MA
02115
US

IV. Provider business mailing address

44 BINNEY ST
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-3971
  • Fax: 617-632-5710
Mailing address:
  • Phone: 617-632-3971
  • Fax: 617-632-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number48511
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: