Individual
NICOLE LANDZBERG GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7420
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254721
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
254721
MA
207RP1001X
Pulmonary Disease Physician
Primary
254721
MA
Other
Enumeration date
06/07/2010
Last updated
11/04/2016
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