National Provider Identifier

Pamela Granville, PA-C

Pamela Granville, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 355-6460.

NPI 1487922191Boston, MASurgical Physician Assistant

Source: public NPPES record, last updated August 22, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1487922191
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
December 08, 2011
Last Updated
August 22, 2019

Practice Location

  • 300 Longwood Ave
  • Otolaryngology Department
  • Boston, MA 02115-5724

Phone: (617) 355-6460

Mailing Address

  • 300 Longwood Ave
  • Otolaryngology Department
  • Boston, MA 02115

Specialties

  • Surgical Physician Assistant (363AS0400X)
  • Medical Physician Assistant (363AM0700X)

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Biography

Pamela Granville, PA-C, is a surgical physician assistant in Boston Children’s Hospital’s Department of Otolaryngology and Communication Enhancement. Her Boston Children’s profile also lists her with the hospital’s Deaf and Hard of Hearing Program, reflecting work in a pediatric setting focused on ear, hearing, and communication care.

Full Record
NPI
1487922191
Entity Type
Individual
Last Name
Granville
First Name
Pamela
Name Prefix
Mrs.
Credential
PA-C
Mailing Street Address
300 Longwood Ave
Mailing Address Line 2
Otolaryngology Department
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02115
Mailing Country
US
Practice Street Address
300 Longwood Ave
Practice Address Line 2
Otolaryngology Department
Practice City
Boston
Practice State
MA
Practice ZIP Code
02115-5724
Practice Country
US
Practice Phone
(617) 355-6460
Enumeration Date
December 08, 2011
Last Updated
August 22, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomies
Surgical Physician Assistant (363AS0400X), Medical Physician Assistant (363AM0700X)