Grande, Donald J.

Grande, Donald J. is an individual health care provider with primary practice located at 92 Montvale Ave Ste 3000 , Stoneham MA 02180-3658. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Grande, Donald J. can be contacted via phone (781) 438-6350.

Contact Information

Primary practice address
92 Montvale Ave Ste 3000 Stoneham MA 02180-3658
Phone: (781) 438-6350
Fax: (781) 395-4806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 15753 New Hampshire
Other Service Providers / Specialist 174400000X 37135 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 37135 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 15753 New Hampshire
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37135 Massachusetts

Profile Details

NPI number 1134196686
LBN Legal business name Grande, Donald J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196686 NPPES
Massachusetts MEDICAID 0164186

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