Individual
DR. BRUCE H. GROSSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1510 CHESTER PIKE, SUITE 130, EDDYSTONE, PA 19022-1375
(610) 521-6063
(610) 521-0163
Mailing address
1510 CHESTER PIKE, SUITE 130, EDDYSTONE, PA 19022-1375
(610) 521-6063
(610) 521-0163
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C20004994
DE
2084N0400X
Neurology Physician
Primary
OS005992L
PA
208VP0000X
Pain Medicine Physician
C20004994
DE
208VP0000X
Pain Medicine Physician
OS005992L
PA
208VP0014X
Interventional Pain Medicine Physician
C20004994
DE
208VP0014X
Interventional Pain Medicine Physician
OS005992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035987
—
DE
05
—
1280858
—
PA
Enumeration date
11/29/2005
Last updated
05/22/2014
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