Grossberg, Anna Leah

Grossberg, Anna Leah is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is her primary health care specialty. Grossberg, Anna Leah can be contacted via phone (410) 328-5767.

Contact Information

Primary practice address
4940 Eastern Ave Baltimore MD 21224-2735
Phone: (410) 328-5767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D74040 Maryland
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X D74040 Maryland

Profile Details

NPI number 1578715850
LBN Legal business name Grossberg, Anna Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Jan 26th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578715850 NPPES
Maryland MEDICAID 054889800

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