Individual
DR. JUDITH PRITIKIN GROSSBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1407 HUGUENOT RD, MIDLOTHIAN, VA 23113-2618
(804) 794-2299
(804) 794-5774
Mailing address
1407 HUGUENOT RD, MIDLOTHIAN, VA 23113-2618
(804) 794-2299
(804) 794-5774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101047846
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559426
AETNA
VA
01
—
817869
ALLIANCE MAMSI
VA
Enumeration date
11/21/2005
Last updated
07/08/2007
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