Groff, Michael W

Groff, Michael W is an individual health care provider with primary practice located at 75 Francis St Neurosurgery, Boston MA 02115-6110. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Groff, Michael W can be contacted via phone (617) 525-7777.

Contact Information

Primary practice address
75 Francis St Neurosurgery Boston MA 02115-6110
Phone: (617) 525-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01052912A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 227533 Massachusetts
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 227533 Massachusetts

Profile Details

NPI number 1710980370
LBN Legal business name Groff, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 21st, 2012 - about 12 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 1710980370 NPPES
Indiana MEDICAID 200287180A

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