Individual
EDWARD D GROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCSF MEDICAL CENTER, 505 PARNASSUS AVE, M-24, CAMPUS BOX 0203, SAN FRANCISCO, CA 94143
(415) 353-1539
Mailing address
UCSF MEDICAL CENTER, 505 PARNASSUS AVE, M-24, CAMPUS BOX 0203, SAN FRANCISCO, CA 94143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
159915
CA
Other
Enumeration date
03/22/2017
Last updated
12/19/2018
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