Individual
CHERYL RENEE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(410) 494-1313
(410) 584-2250
Mailing address
515 FAIRMOUNT AVE, STE 400, TOWSON, MD 21286-5466
(410) 494-1324
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798621100
—
MD
Enumeration date
04/26/2006
Last updated
11/30/2020
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