Individual
DR. MARC MICHAEL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PARKLAND DR, PARKLAND MEDICAL CENTER, DERRY, NH 03038
(305) 415-1258
Mailing address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
281595
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215356
MEDICAL LICENSE
—
01
—
MA70946
MEDICAL LICENSE
NJ
01
—
ME93276
MEDICAL LICENSE
FL
Enumeration date
07/10/2006
Last updated
10/08/2024
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