Grossberg, Judith Pritikin

Grossberg, Judith Pritikin is an individual health care provider with primary practice located at 1407 Huguenot Rd , Midlothian VA 23113-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grossberg, Judith Pritikin can be contacted via phone (804) 794-2299.

Contact Information

Primary practice address
1407 Huguenot Rd Midlothian VA 23113-2618
Phone: (804) 794-2299
Fax: (804) 794-5774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101047846 Virginia

Profile Details

NPI number 1811970148
LBN Legal business name Grossberg, Judith Pritikin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1811970148 NPPES
Virginia Other 559426 AETNA
Virginia Other 817869 AETNA

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