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Individual
JOSEPH M GROSSMAN
Active
Individual
JOSEPH M GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
209874
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292720
—
SC
05
—
5904721
—
NC
Enumeration date
06/06/2006
Last updated
02/28/2008
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