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NPI Code Detail

MEDICARE: DR. NICHOLAS PATRICK GROSSO MD

MEDICARE: DR. NICHOLAS PATRICK GROSSO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianD51302MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376547125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS PATRICK GROSSO MD
Provider Business Mailing Address
First Line : 910 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4516
Country : US
Telephone Number : 410-644-1880
Fax Number : 410-646-3623
Provider Business Practice Location Address
First Line : 910 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4516
Country : US
Telephone Number : 410-644-1880
Fax Number : 410-646-3623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/25/2024

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