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Search › Massachusetts › 1041C0700X

Dominique Graham

NPI 1497089353 · on the registry since 2009

Practice

Address
850 Harrison Ave
Dowling 9
Boston, MA 02118
Phone
(617) 414-4230
Fax
(617) 414-4248
Organisation at this address
Boston Medical Center
Boston Medical Center
Boston Medical Center
Child Health Foundation
Boston Medical Center Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
423

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
390200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts