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Organization
GROSSO FAMILY MEDICINE PC
Active
Organization
GROSSO FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J GROSSO DO (PRESIDENT)
(724) 879-8739
Entity
Organization
Contact information
Practice address
5927 STATE ROUTE 981, SUITE 8, LATROBE, PA 15650-2687
(724) 879-8739
(724) 879-4292
Mailing address
5927 STATE ROUTE 981, SUITE 8, LATROBE, PA 15650-2687
(724) 879-8739
(724) 879-4292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013058
PA
Other
Enumeration date
03/15/2011
Last updated
12/19/2014
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