Grossman, Sandra
Grossman, Sandra is an sole proprietor health care provider with primary practice located at 130 S Bryn Mawr Ave , Bryn Mawr PA 19010. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Grossman, Sandra can be contacted via phone (610) 526-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME102782 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 25MA08786900 | New Jersey |
Profile Details
| NPI number | 1205151115 |
|---|---|
| LBN Legal business name | Grossman, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2010 |
| Last updated | Jun 20th, 2018 - about 8 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 | 1205151115 | NPPES |
| New Jersey | Other | 25MA08786900 | SATE LICENSE |
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