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General NPI Number Information
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NPI Number | 1770530255
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Entity Type | Organization
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Legal Business Name | MICHAEL J GROSSMAN MD PC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 565 TURNPIKE ST SUITE 74
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5922
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Country | US
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Telephone | 978-682-2121
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Fax | 978-686-1818
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | ANDOVER
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State | MA
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Zip | 01810-0006
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL GROSSMAN
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Credential | M.D.
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Telephone | 978-682-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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