Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew A Grimm, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417117482

Dr. Andrew A Grimm, MD, PHD is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Licensed in California, Massachusetts and Missouri. Registered with an NPI since 2008.

Licensed in
CA, MA, MO
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-3497
Fax: (508) 856-1245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 265453 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 236572 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 2009026062 (MO)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence A116631 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 265453 (MA)

Record details

NPI number1417117482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 13, 2008
Last updated in NPPESFebruary 23, 2016

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