Provider Demographics
NPI:1952560310
Name:GRINSPOON, PETER M (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:M
Last Name:GRINSPOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 EVERETT AVENUE
Mailing Address - Street 2:CHELSEA HEALTHCARE CENTER
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2309
Mailing Address - Country:US
Mailing Address - Phone:617-884-8300
Mailing Address - Fax:617-887-4646
Practice Address - Street 1:151 EVERETT AVENUE
Practice Address - Street 2:CHELSEA HEALTHCARE CENTER
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-884-8300
Practice Address - Fax:617-887-4646
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAP-204412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine