| Jason Grunes Pllc | |
|
2 Rehabilitation Way Woburn MA 01801-6003 | |
| (791) 935-5050 | |
| Not Available |
| Full Name | Jason Grunes Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Rehabilitation Way, Woburn, Massachusetts |
| Authorized Official Name and Position | Jason Grunes (PHYSICIAN) |
| Authorized Official Contact | 7819333734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Grunes Pllc 2 Rehabilitation Way Woburn MA 01801-6003 Ph: (791) 935-5050 | Jason Grunes Pllc 2 Rehabilitation Way Woburn MA 01801-6003 Ph: (791) 935-5050 |
| NPI Number | 1285083972 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/13/2016 |
| Medicare PECOS PAC ID | 8325332729 |
|---|---|
| Medicare Enrollment ID | O20160808002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285083972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anil Neeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669619789 PECOS PAC ID: 2769653062 Enrollment ID: I20110919000028 |
| Provider Name | Jason Grunes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619131539 PECOS PAC ID: 1658542790 Enrollment ID: I20110921000051 |
| Provider Name | Sarietha Lanna Mathieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033727318 PECOS PAC ID: 9436579638 Enrollment ID: I20201008001763 |
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