Individual
IRA C GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 S RIVER ST STE 301, PLAINS, PA 18705-1032
(570) 270-2600
(570) 270-2828
Mailing address
670 S RIVER ST STE 301, PLAINS, PA 18705-1032
(570) 270-2600
(570) 270-2828
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD018268E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007116840001
—
PA
Enumeration date
09/26/2006
Last updated
02/05/2018
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