Justin Kurtis Grant Sr, MD is a
Student In An Organized Health Care Education/training Program physician based in Dorchester, Massachusetts. Justin Kurtis Grant Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is 2100 Dorchester Ave, Dorchester, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 296-4000.
NPI number for Justin Kurtis Grant Sr is 1841981693 and his current mailing address is 2100 Dorchester Ave, Dorchester, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841981693.
Physician's Profile
Full Name | Justin Kurtis Grant Sr |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2100 Dorchester Ave, Dorchester, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841981693
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Justin Kurtis Grant Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841981693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 3014062 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Kurtis Grant Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Justin Kurtis Grant Sr, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: () - | Justin Kurtis Grant Sr, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: (617) 296-4000 |
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