Individual
NEIL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
366 WASHINGTON ST, WELLESLEY, MA 02481-6206
(781) 239-0033
(781) 237-8938
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(603) 890-4404
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6164099
—
MA
Enumeration date
05/16/2006
Last updated
01/18/2010
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