Individual
DR. KENNETH P GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, FASTER PATHS 1N64, BOSTON, MA 02118
(617) 414-4580
(617) 414-4572
Mailing address
960 MASSACHUSETTS AVE, FL2 PROVIDER ENROLLMENT, BOSTON, MA 02118-3791
(617) 414-4580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48029
MA
Other
Enumeration date
07/21/2006
Last updated
04/05/2024
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