Marc Dennis Grodman M.D.

NPI 1487704797 - Internal Medicine - 207R00000X

NPI Details
NPI 1487704797
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
622 W 168TH ST
NEW YORK NY, 10032-3720, US
Phone (212) 305-9369
Fax
Business Location
630 WEST 168 STREET, BOX 4
VC 12TH FLOOR, SUITE 208
NEW YORK NY, 10032, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 138001
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According to our database, Dr. Marc Dennis Grodman M.D. NPI is 1487704797, taxonomy code is 207R00000X and license number is 138001, license state is located at New York. Marc Dennis Grodman M.D. physically located at 622 W 168th St, New York NY, 10032-3720. NPI Number Marc Dennis Grodman M.D. has the Individual type.

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1487704797 NPI number is provided on an as is basis without warranty of any kind. 1487704797 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Dennis Grodman M.D. are for informational purposes only.