Individual
DR. RICHARD SAUL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 OLE MUSKET RD, UNIT 5, CUMBERLAND FORESIDE, ME 04110-1422
(207) 400-0142
Mailing address
10 OLE MUSKET RD, UNIT 5, CUMBERLAND FORESIDE, ME 04110-1422
(207) 400-0142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013580
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02232108
—
NY
Enumeration date
09/16/2006
Last updated
12/15/2010
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