NPI 1073718938

Rachel Marie Granquist, PA

Practitioner Physician Assistant Brockton, MA

Practice location

Address: 680 Centre St, Brockton, MA 02302-3308
Phone: (508) 941-7000
Fax: (508) 941-6337

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1117 (MA)

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Registry record

NPI: 1073718938
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.