Individual
DR. IRINA GROSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4725 N FEDERAL HWY, HOLY CROSS HOSPITAL DEPARTMENT OF RADIATION, FORT LAUDERDALE, FL 33308-4603
(954) 492-5764
(954) 776-3238
Mailing address
405 N OCEAN BLVD APT 1501, POMPANO BEACH, FL 33062-5153
(347) 400-0405
(954) 785-3142
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
196838-1
NY
2085R0203X
Therapeutic Radiology Physician
25MA06449800
NJ
2085R0203X
Therapeutic Radiology Physician
MD058312L
PA
2085R0203X
Therapeutic Radiology Physician
Primary
ME 71096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2743841 00
—
FL
Enumeration date
05/19/2006
Last updated
11/13/2009
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