Teana Krystal Gravel Mariere, DO Valid NPI

Individual provider · Emergency Medicine Physician · Brockton, MA

NPI

1669048831

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

1018780 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2021-05-28

Last updated

2024-08-20