Individual provider · Type 1 NPI

Kenneth M. Grundfast, MD

Otolaryngology Physician · Boston, MA

NPI number 1336101054 Active

Practice location

830 Harrison Ave, Ste 1400
Boston, MA 02118

Call (617) 638-8124 Map

Fax (617) 414-4953

Mailing address

960 Massachussetts Avenue, Fl 2
Boston, MA 02118-2690

Other practice locations

  • 800 Huntington Ave, Boston, MA 02115-6303 · (617) 936-6160
  • 2300 M St NW, Washington, DC 20037-1434 · (202) 741-3574
  • 243 Charles St, Boston, MA 02114-3002 · (617) 573-5526

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XMD6119 (DC)
Otolaryngology Physician Primary 207Y00000X160725 (MA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1336101054

Kenneth M. Grundfast, MD's National Provider Identifier is 1336101054, issued on Apr 6, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Boston, MA. The record was last updated on Aug 25, 2026.