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Organization
GROSSMAN MEDICAL REJUVENATION INC
Active
Organization
GROSSMAN MEDICAL REJUVENATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GROSSMAN MD (OWNER)
(877) 258-6331
Entity
Organization
Contact information
Practice address
4440 VON KARMAN AVE STE 202, NEWPORT BEACH, CA 92660-2011
(877) 258-6331
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(877) 258-6331
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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