Individual
DR. DAVID BURTON GROSSBERG
Active
Individual
DR. DAVID BURTON GROSSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0036822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047334
RAILROAD MCR NUMBER
MD
05
—
286201800
—
MD
01
—
400556
MARYLAND CAREFIRST #
MD
01
—
4109731
AETNA PROVIDER NUMBER
MD
01
—
5019
ELDER HEALTH NUMBER
MD
01
—
A4700004
DC CAREFIRST NUMBER
MD
Enumeration date
05/17/2006
Last updated
03/13/2015
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