Individual
LAWRENCE B GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 GRANT AVE, SUITE 103, PHILADELPHIA, PA 19115-4378
(215) 333-1776
(215) 333-0653
Mailing address
2000 GRANT AVE, SUITE 103, PHILADELPHIA, PA 19115-4378
(215) 333-1776
(215) 333-0653
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD050925L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010101650037
—
PA
Enumeration date
12/22/2006
Last updated
02/01/2013
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