Grossman, Michael D

Grossman, Michael D is an individual health care provider with primary practice located at 208 Mill Rd , Fairhaven MA 02719-5208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Grossman, Michael D can be contacted via phone (508) 973-2204.

Contact Information

Primary practice address
208 Mill Rd Fairhaven MA 02719-5208
Phone: (508) 973-2204
Fax: (508) 973-2640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 278809 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 265457-1 New York

Profile Details

NPI number 1477580462
LBN Legal business name Grossman, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477580462 NPPES
Pennsylvania MEDICAID 0015420760002

Popular Providers