Individual
MARC DAVID GROBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3411 SILVERSIDE RD, WELDIN BUILDING SUITE 102, WILMINGTON, DE 19810-4812
(302) 479-0580
(302) 479-0583
Mailing address
1602 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6208
(302) 633-5840
(302) 633-5844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0003657
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000318803
—
DE
01
—
08D0876971
CLIA
DE
01
—
110044275
RRM
DE
01
—
510334650
BCBS OF DE
DE
Enumeration date
02/01/2006
Last updated
12/19/2011
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