Groman, David I

Groman, David I is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Groman, David I can be contacted via phone (908) 522-2021.

Contact Information

Primary practice address
99 Beauvoir Ave Summit NJ 07901-3533
Phone: (908) 522-2021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2006-0076 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA09225500 New Jersey

Profile Details

NPI number 1790717890
LBN Legal business name Groman, David I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 12th, 2020 - about 4 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 1790717890 NPPES
New Mexico MEDICAID 31756701

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