Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology | |
Allergy & Immunology |
207K00000X | 03 | Physician/Allergy/ Immunology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Otolaryngology/Facial Plastic Surgery |
207YX0905X | 04 | Physician/Otolaryngology | |
Pediatric Otolaryngology |
207YP0228X | 04 | Physician/Otolaryngology | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology | |
Sleep Medicine |
207YS0012X | 04 | Physician/Otolaryngology |
| NPI Number | 1316123862 |
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| LBN Legal business name | RICHARD C. GROSSMAN, D.O., P.A. | ||||||||
| Authorized official | RICHARD GROSSMAN - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/15/2008 | ||||||||
| Last updated | 01/15/2008 - About 18 years ago | ||||||||
| Identifiers |
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