Individual
IAN ANTHONY GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, BUILDING 1, 2ND FLOOR, RM C226, PORTSMOUTH, VA 23708
(757) 953-7550
(757) 953-0090
Mailing address
620 JOHN PAUL JONES CIRCLE, BUILDING 1, 2ND FLOOR, RM C226, PORTSMOUTH, VA 23708
(757) 953-7550
(757) 953-0090
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101260624
VA
207RP1001X
Pulmonary Disease Physician
0101260624
VA
Other
Enumeration date
04/10/2014
Last updated
08/07/2024
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