Dr. Ira N Grenadir
Podiatrist Sports Medicine
205 Walden Street Ste.apt. 5j
Cambridge
, Massachusetts 02140-3511
Dr. Ira N Grenadir
Podiatrist Sports Medicine
205 Walden Street Ste.apt. 5j
Cambridge
, Massachusetts 02140-3511
(617) 492-1827
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About
Features
Specialties
- Podiatrist
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Ira N Grenadir
- 205 Walden Street Ste. 5j
- Cambridge, MA
- Zip : 02140-3511
- Phone : (617) 492-1827
Second Address
- Dr. Ira N Grenadir
- 205 Walden Street Ste.apt. 5j
- Cambridge, MA
- Zip : 02140-3511
- Phone : (617) 492-1827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1556 | MA |
| N | 222Z00000X | Podiatrist | 1556 | MA |
| N | 2081S0010X | Sports Medicine | 1556 | MA |
| N | 213ES0000X | Sports Medicine | 1556 | MA |
National Provider Identifier
| NPI | 1407892086 |
|---|---|
| Provider Name | Dr. Ira N Grenadir |
| First Address | Cambridge, MA 02140-3511 |
| Second Address | Cambridge, MA 02140-3511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.