| Doctor Name: | DR. HENRY GERRARD JOSEPH GRAVEL |
| NPI Number: | 1821044462 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 36492 |
| Business Practice Address: | 200 Mill Rd Suite 350 Fairhaven, MA - 027195252 |
| Business Phone Number: | 5089991100 |
| Business Fax Number: | 5089901411 |
| Mailing Address: | 333 Ricciuti Dr, #1728 QUINCY |
| State: | MA |
| Postal Code: | 021696287 |
| Phone Number: | 6174819691 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 36492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |