Grover Baxley MD

NPI #1891978474 in Cataumet, Massachusetts

Provider Information

NPI Number: 1891978474
Entity Type: Organization
Organization Name: Grover Baxley MD
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 51 OCEAN AVE
City: Cataumet
State: Massachusetts
ZIP Code: 02534
Phone: (508) 563-5507

Authorized Official

Name: SHEILA V SOUZA
Title: BILLING AGENCY
Phone: (508) 548-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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