Grossman, Michael J
Grossman, Michael J is an sole proprietor health care provider with primary practice located at 565 Turnpike St Suite 74, North Andover MA 01845-5922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Grossman, Michael J can be contacted via phone (978) 682-2121.Contact Information
Primary practice address
565 Turnpike St Suite 74
North Andover MA 01845-5922
Phone: (978) 682-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 48692 | Massachusetts |
Profile Details
| NPI number | 1831188218 |
|---|---|
| LBN Legal business name | Grossman, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 18th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831188218 | NPPES |
| Other | J03100 | MEDICARE | |
| MEDICAID | 3131696 | MEDICARE |
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