Individual
MICHAEL D GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-2204
(508) 973-2640
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
265457-1
NY
2086S0102X
Surgical Critical Care Physician
Primary
278809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015420760002
—
PA
Enumeration date
06/27/2006
Last updated
04/22/2020
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