Individual
MICHAEL M GRUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - PULMONOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-3749
(215) 590-3500
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD038136E
PA
2080P0214X
Pediatric Pulmonology Physician
Primary
MD038136E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001094781
—
PA
05
—
3901700
—
NJ
Enumeration date
07/31/2006
Last updated
04/17/2013
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