Doctor Name: | DR. JOHN D GROARKE |
NPI Number: | 1396027520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MBBCH BAO BA MSC MPH |
License Number: | 262006 |
Business Practice Address: | 75 Francis St Bwh, Department Of Cardiovascular Medicine, A3-360 Boston, MA - 021156110 |
Business Phone Number: | 6177326632 |
Business Fax Number: | 6172645119 |
Mailing Address: | 75 Francis Street, A3-360 Brigham & Women's Hospital, BOSTON |
State: | MA |
Postal Code: | 02115 |
Phone Number: | 6177326632 |
Fax Number: | 6172645119 |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 07/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 262006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |