Grosso, Peter Charles

Grosso, Peter Charles is an individual health care provider with primary practice located at 1005 Commercial Lane Godwin Bldg On Rt 10, Suite 220, Suffolk VA 23434-8149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grosso, Peter Charles can be contacted via phone (757) 668-2600.

Contact Information

Primary practice address
1005 Commercial Lane Godwin Bldg On Rt 10, Suite 220 Suffolk VA 23434-8149
Phone: (757) 668-2600
Fax: (757) 668-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101042222 Virginia

Profile Details

NPI number 1144286832
LBN Legal business name Grosso, Peter Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Dec 10th, 2012 - about 14 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 1144286832 NPPES
North Carolina MEDICAID 890583W
North Carolina MEDICAID 6746209

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