Provider / Organization | NPI | Date Certified |
---|---|---|
GROSSMAN MEDICAL REJUVENATION INC | 1063260248 | 2024-05-11 |
The organization Grossman Medical Rejuvenation Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1063260248. Registration indicates Grossman Medical Rejuvenation Inc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | |
193200000X MULT | Group Code |