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Individual
COLBY H GROSSMAN
Active
Individual
COLBY H GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12448
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649422296
NPI SITE ID#
SC
Enumeration date
12/14/2005
Last updated
06/20/2024
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