Grumbach, Nicholas M

Grumbach, Nicholas M is an individual health care provider with primary practice located at 400 Bald Hill Rd Suite 520, Warwick RI 02886-1617. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grumbach, Nicholas M can be contacted via phone (401) 793-8520.

Contact Information

Primary practice address
400 Bald Hill Rd Suite 520 Warwick RI 02886-1617
Phone: (401) 793-8520
Fax: (401) 793-8527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10410 Rhode Island
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10410 Rhode Island

Profile Details

NPI number 1932105780
LBN Legal business name Grumbach, Nicholas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 30th, 2015 - about 10 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 1932105780 NPPES
Massachusetts MEDICAID 2067650
Massachusetts MEDICAID WG33264

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