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NPI Code Detail

MEDICARE: DR. STEPHEN D GROSKIN MD

MEDICARE:  DR. STEPHEN D GROSKIN  MD
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
1207Q00000XFamily Medicine PhysicianMD12295RI

General Provider Information

NPI Number : 1629045646
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN D GROSKIN MD
Provider Business Mailing Address
First Line : PO BOX 1070
Second Line : PRIMA CARE, PC
City : FALL RIVER
State : MA
Zip : 02722-1070
Country : US
Telephone Number : 508-676-3292
Fax Number : 508-672-7181
Provider Business Practice Location Address
First Line : 546 MAIN ROAD
Second Line : PRIMA CARE, PC
City : TIVERTON
State : RI
Zip : 02878-1350
Country : US
Telephone Number : 401-816-5110
Fax Number : 401-816-5480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 06/24/2016

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Directions to “ DR. STEPHEN D GROSKIN MD” Practice Location

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