Individual
DIANA ELIZABETH FARRELL-GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
325 W BROAD ST, BETHLEHEM, PA 18018
(484) 626-9200
(610) 867-8499
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 862-3295
(484) 664-7659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS019836
PA
207R00000X
Internal Medicine Physician
OS11692
FL
Other
Enumeration date
06/07/2012
Last updated
04/04/2019
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