Individual
MR. MATTHEW G GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12351 PERRY HWY, WEXFORD, PA 15090-8344
(412) 359-6581
(412) 359-3483
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3155
(412) 359-3483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN-246354
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN537065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250487
ANTHEM
OH
05
—
2358738
—
OH
05
—
2602912000
—
WV
Enumeration date
09/25/2006
Last updated
10/25/2022
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