Individual
DR. MICHAEL J GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
565 TURNPIKE ST, SUITE 74, NORTH ANDOVER, MA 01845-5922
(978) 682-2121
Mailing address
PO BOX 307, ANDOVER, MA 01810-0006
(978) 682-2121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3131696
—
MA
01
—
J03100
MEDICARE
—
Enumeration date
10/18/2005
Last updated
02/18/2010
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