Individual
DR. RICHARD ALAN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 756-6832
(508) 756-5266
Mailing address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 756-6832
(508) 756-5266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325481
—
MA
01
—
2398
STATE O.D. LICENSE
MA
01
—
MG0334588M
CONTROLLED SUBSTANCES REG
MA
Enumeration date
05/05/2006
Last updated
07/09/2007
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