Individual provider · Type 1 NPI
Edwin Charles Gravereaux, MD
Vascular Surgery Physician · Boston, MA
NPI number
1376500751
Active
Practice location
75 Francis St, Brigham And Women's Hospital
Boston, MA 02115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 155441 (MA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1376500751
Edwin Charles Gravereaux, MD's National Provider Identifier is 1376500751, issued on Apr 28, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Boston, MA. The record was last updated on Nov 10, 2014.