Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 244421 | NY |
NPI | 1215195318 |
---|---|
Provider Name | Dr. Avi J Grunin |
First Address | Dedham, MA 02026-5599 |
Second Address | Dedham, MA 02026-5599 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 17/02/2021 |