Dr Sandra Grossman, MD | |
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 | |
(610) 526-3000 | |
Not Available |
Full Name | Dr Sandra Grossman |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 130 S Bryn Mawr Ave, Bryn Mawr, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205151115 | NPI | - | NPPES |
25MA08786900 | Other | NJ | SATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME102782 (Florida) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 25MA08786900 (New Jersey) | Primary |
Entity Name | Cooper Univeristy Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689694473 PECOS PAC ID: 4486627551 Enrollment ID: O20040817000551 |
Entity Name | Cooper Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205197365 PECOS PAC ID: 2860644234 Enrollment ID: O20121211000182 |
Mailing Address | Practice Location Address |
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Dr Sandra Grossman, MD Po Box 191, Rockland, DE 19732-0191 Ph: () - | Dr Sandra Grossman, MD 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Ph: (610) 526-3000 |
Joshua M. Baron, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Dianna Elizabeth Vassallo, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave # 203, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Christopher X Daly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Dr. Jennifer Lynn Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Joshua M Brown, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Gregory W Higbee, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Leonard P Ulan Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 |