Healthcare Provider Details

I. General information

NPI: 1538315668
Provider Name (Legal Business Name): AARTI GROVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST BOX 369
BOSTON MA
02111-1552
US

IV. Provider business mailing address

15 VAN OVER DR
OLD BRIDGE NJ
08857-3759
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-6366
  • Fax:
Mailing address:
  • Phone: 908-930-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA08449100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberD0075976
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: