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Contact Information

RAFAEL JOSE M GROZMAN, MD
417 STATE ST STE 400
BANGOR, ME04401
 Phone: 207-942-6096
 Fax: 207-973-8857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAFAEL JOSE M GROZMAN · (Male)

NPI # 1851648984
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2012
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # MD21937
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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