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Contact Information

ANDREW GROLLMAN, MD
610 BROADWAY BLVD NE
ALBUQUERQUE, NM87102-2372
 Phone: 505-242-3991
 Fax: 505-998-1660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANDREW GROLLMAN · (Male)

NPI Number 1811157100
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08386700
  • NM License # MD2010-0319
  • NM Medicaid 45558230
  • NM Other MD2010-0319 NM MEDICAL BOARD LICENSE
Hospital affiliation(s)
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
  • LOVELACE WESTSIDE HOSPITAL - (Acute Care)
    10501 GOLF COURSE ROAD NW
    ALBUQUERQUE, NM 87114
  • LOVELACE WOMEN'S HOSPITAL - (Acute Care)
    4701 MONTGOMERY BOULEVARD NE
    ALBUQUERQUE, NM 87109
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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