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Individual

MRS. REBECCA GROSSMAN OSPITAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5454 WISCONSIN AVE, 1275, CHEVY CHASE, MD 20815-6901
(301) 941-8166
Mailing address
4835B 28TH ST S, ARLINGTON, VA 22206-1365
(609) 203-1324

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002284
VA

Other

Enumeration date
12/05/2007
Last updated
03/12/2008
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