Della Grotta, Gary T
Della Grotta, Gary T is an individual health care provider with primary practice located at 43B Birch Street , Derry NH 03038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Della Grotta, Gary T can be contacted via phone (603) 434-0327.Contact Information
Primary practice address
43B Birch Street
Derry NH 03038
Phone: (603) 434-0327
Fax: (603) 437-7175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7298 | New Hampshire |
Profile Details
| NPI number | 1255373304 |
|---|---|
| LBN Legal business name | Della Grotta, Gary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255373304 | NPPES |
| New Hampshire | MEDICAID | 30001472 |
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