Individual
HOLDEN KORTUM GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032
(408) 489-0987
Mailing address
147 VISTA DEL MONTE, LOS GATOS, CA 95030-6335
(408) 489-0987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
293572
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
293572
NY
Other
Enumeration date
03/25/2013
Last updated
07/23/2018
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