Grossman, Robert A

Grossman, Robert A is an individual health care provider with primary practice located at 543 Moreno Rd , Wynnewood PA 19096-1107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Grossman, Robert A can be contacted via phone (610) 896-8486.

Contact Information

Primary practice address
543 Moreno Rd Wynnewood PA 19096-1107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD010355E Pennsylvania

Profile Details

NPI number 1932139037
LBN Legal business name Grossman, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 9th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932139037 NPPES
Pennsylvania MEDICAID 000662196

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