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Individual

DOLORES A. GROSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP003569U
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102903326
PA
Enumeration date
11/08/2006
Last updated
06/09/2014
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