Individual
GARY T DELLA GROTTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43B BIRCH STREET, DERRY, NH 03038
(603) 434-0327
(603) 437-7175
Mailing address
43B BIRCH STREET, DERRY, NH 03038
(603) 434-0327
(603) 437-7175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7298
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001472
—
NH
Enumeration date
06/12/2006
Last updated
07/08/2007
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