Healthcare Provider Details

I. General information

NPI: 1801358841
Provider Name (Legal Business Name): RACHEL ANA GROSSER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 HARRISON AVE, FL 3 WEST PRESENT BLDG.
BOSTON MA
02118-2309
US

IV. Provider business mailing address

960 MASSACHUSETTS AVENUE FL 2
MASSACHUSETTS MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 617-638-8488
  • Fax: 617-638-8469
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1028158
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number1028158
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: