| Grossinger Neuropain Specialists, Pa | |
|
4100 Dawnbrook Dr Suite 4 Wilmington DE 19804-3932 | |
| (302) 636-0920 | |
| Not Available |
| Full Name | Grossinger Neuropain Specialists, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4100 Dawnbrook Dr, Wilmington, Delaware |
| Authorized Official Name and Position | Bruce H Grossinger (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3026360920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grossinger Neuropain Specialists, Pa 4100 Dawnbrook Dr Suite 4 Wilmington DE 19804-3932 Ph: (302) 636-0920 | Grossinger Neuropain Specialists, Pa 4100 Dawnbrook Dr Suite 4 Wilmington DE 19804-3932 Ph: (302) 636-0920 |
| NPI Number | 1952506685 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/01/2008 |
| Medicare PECOS PAC ID | 2264521723 |
|---|---|
| Medicare Enrollment ID | O20071205000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952506685 | NPI | - | NPPES |
| 1000041520 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Bruce H Grossinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578546024 PECOS PAC ID: 1153373394 Enrollment ID: I20071205000648 |
| Provider Name | Steven D Grossinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134102957 PECOS PAC ID: 3870533409 Enrollment ID: I20071205000656 |
| Provider Name | Jason H Brajer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609856723 PECOS PAC ID: 7214913656 Enrollment ID: I20090122000083 |
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