Individual
DR. SHOSHANA GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N 16TH ST STE D, PHILADELPHIA, PA 19102-1225
(215) 315-3197
(215) 689-4466
Mailing address
222 UPLAND RD, MERION STATION, PA 19066-1822
(516) 508-0281
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MT213672
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/04/2017
Last updated
03/02/2021
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