MEDICARE: TZVI GROSSMAN M.D.

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	D93959	MD
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	D0093959	MD
3	207L00000X	Anesthesiology Physician	D93959	MD

General Provider Information

NPI Number	:	1366975963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TZVI GROSSMAN M.D.

Provider Business Mailing Address
First Line	:	1106 ARCOLA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3406
Country	:	US
Telephone Number	:	248-281-5476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 ARCOLA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3406
Country	:	US
Telephone Number	:	800-533-3669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2017
Last Update Date	:	04/14/2023

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