NPI 1093910606

Ricky D Grisson, MD

Practitioner Clinical Pathology/Laboratory Medicine Physician Providence, RI

Practice location

Address: 117 Ellenfield St STE 101, Providence, RI 02905-4541
Phone: (401) 444-6779
Mailing address: Massachusetts General Hospital 55 Fruit Street, Boston, MA 02114

Registered specialties (3)

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence MD15414 (RI)

Other Pathology providers in Rhode Island →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence L-232504 (MA)

Clinical Pathology/Laboratory Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence A121170 (CA)

Registry record

NPI: 1093910606
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2007
Record last updated: 7 Oct 2020

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.