Provider Demographics
NPI:1275514184
Name:STANCEL-GRABIAS, BEATA D (MD)
Entity Type:Individual
Prefix:DR
First Name:BEATA
Middle Name:D
Last Name:STANCEL-GRABIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-344-1977
Practice Address - Street 1:340 THOMPSON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-1509
Practice Address - Country:US
Practice Address - Phone:508-949-1988
Practice Address - Fax:508-949-7225
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2019752Medicaid
MAH90824Medicare UPIN
MA2019752Medicaid