Granville, Pamela

Granville, Pamela is an sole proprietor health care provider with primary practice located at 300 Longwood Ave Otolaryngology Department, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Granville, Pamela can be contacted via phone (617) 355-6460.

Contact Information

Primary practice address
300 Longwood Ave Otolaryngology Department Boston MA 02115-5724
Phone: (617) 355-6460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA4292
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 301719 Massachusetts

Profile Details

NPI number 1487922191
LBN Legal business name Granville, Pamela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2011
Last updated Aug 22nd, 2019 - about 7 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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