Individual
DR. MAURO GROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, PCMH 288 WEST, GREENVILLE, NC 27834-4300
(252) 744-4676
(252) 744-8199
Mailing address
600 MOYE BOULEVARD SUITE 333, PCMH MA, GREENVILLE, NC 27834
(252) 744-2087
(252) 744-8199
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
200500591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139TP
BCBS NC
NC
05
—
5902660
—
NC
Enumeration date
04/28/2006
Last updated
04/09/2012
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