Provider Demographics
NPI:1285607481
Name:GRABOWSKI, ERIC FRANKLIN (MD SCD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FRANKLIN
Last Name:GRABOWSKI
Suffix:
Gender:M
Credentials:MD SCD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-2737
Mailing Address - Fax:617-724-8526
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAQ 8 B PEDIATRIC HEMATOLOGY ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-2737
Practice Address - Fax:617-724-0702
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2012-12-05
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Provider Licenses
StateLicense IDTaxonomies
MA75824208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ12691OtherBCBS MA
MA3093743Medicaid
MA726061OtherTUFTS HEALTH PLAN
MA3093743Medicaid
MAJ12691Medicare ID - Type Unspecified