Most Relevant Information
Provider Data
NPI Number: | 1003486499 |
Provider Name: | SARA ELIZABETH GROSSLEIN PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 06/28/2021 |
Last Updated: | 05/01/2024 |
Provider Practice Location
55 FRUIT STREET
WHITE 1
BOSTON
MA
021146110
Practice Location Phone/Fax
Phone: | 6177244100 |
Fax: | 6177267415 |
Provider Mailing Location
55 FRUIT ST DEPT OF
BOSTON
MA
021142621
Provider Mailing Phone/Fax
Phone: | |
Fax: |