Provider Demographics
NPI:1578570537
Name:GRABIAS MEDICAL GROUP PC
Entity Type:Organization
Organization Name:GRABIAS MEDICAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:PIOTR
Authorized Official - Middle Name:
Authorized Official - Last Name:GRABIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-949-1988
Mailing Address - Street 1:340 THOMPSON RD
Mailing Address - Street 2:STE 108
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570
Mailing Address - Country:US
Mailing Address - Phone:508-949-1988
Mailing Address - Fax:508-949-7225
Practice Address - Street 1:340 THOMPSON RD
Practice Address - Street 2:STE 108
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570
Practice Address - Country:US
Practice Address - Phone:508-949-1988
Practice Address - Fax:508-949-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9761390Medicaid
MA9761390Medicaid