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Individual

ROBERT A GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
543 MORENO RD, WYNNEWOOD, PA 19096-1107
(610) 896-8486
Mailing address
543 MORENO RD, 210 WHITE BUILDING, WYNNEWOOD, PA 19096-1107
(610) 896-8486

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD010355E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000662196
PA
Enumeration date
07/04/2006
Last updated
06/09/2016
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