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NPI Code Detail

MEDICARE: DR. JOEL STEVEN GROSSMAN M.D.

MEDICARE:  DR. JOEL STEVEN 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
12085R0202XDiagnostic Radiology PhysicianME78320FL

General Provider Information

NPI Number : 1447242938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL STEVEN GROSSMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 8089
Second Line :
City : NAPLES
State : FL
Zip : 34101-8089
Country : US
Telephone Number : 239-643-1155
Fax Number : 239-643-9816
Provider Business Practice Location Address
First Line : 1441 RIDGE ST
Second Line :
City : NAPLES
State : FL
Zip : 34103-4211
Country : US
Telephone Number : 239-643-1155
Fax Number : 239-643-9816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOEL STEVEN GROSSMAN M.D.” Practice Location

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