Provider Demographics
NPI:1134116924
Name:OREN GRINBERG, ACHIKAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ACHIKAM
Middle Name:
Last Name:OREN GRINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ACHIKAM
Other - Middle Name:
Other - Last Name:OREN-GRINBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:95 CROWNINSHIELD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6777
Mailing Address - Country:US
Mailing Address - Phone:617-232-3256
Mailing Address - Fax:
Practice Address - Street 1:1 DEACONESS RD
Practice Address - Street 2:BIDMC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5321
Practice Address - Country:US
Practice Address - Phone:617-754-2713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222963207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology