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NPI Code Detail

MEDICARE: MONTE S GROSSMAN MD

MEDICARE: MONTE S GROSSMAN 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
1207P00000XEmergency Medicine PhysicianMD039401LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952372682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTE S GROSSMAN MD
Provider Business Mailing Address
First Line : 1068 W BALTIMORE PIKE
Second Line :
City : MEDIA
State : PA
Zip : 19063-5104
Country : US
Telephone Number : 610-891-3388
Fax Number : 610-891-3680
Provider Business Practice Location Address
First Line : 1068 W BALTIMORE PIKE
Second Line :
City : MEDIA
State : PA
Zip : 19063-5104
Country : US
Telephone Number : 610-891-3388
Fax Number : 610-891-3680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 10/02/2024

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Directions to “ MONTE S GROSSMAN MD” Practice Location

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