Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK GROSSMAN, DO
ActiveJACK GROSSMAN, DO is a Student (Health Education/Training) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1255076410 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1255076410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2022 (4.2482705241542 yrs)
- Last Updated
- Jul 3, 2023
- License
-
OT022084 (PA)
Practice Information
- Address
-
801 OSTRUM STBETHLEHEMPHILADELPHIA, PA, 18015Browse PA providers · Browse ZIP 18015
- Phone
- 4845264000
- Fax
- 8666917505
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL FOO | M.D. | 1649482985 |
| DR. JONATHAN MICHAEL WERT | M.D. | 1356553689 |
| DR. NARATHIP CHUNHAMANEEWAT | M.D. | 1194930529 |
| KRISZTIAN KAPINYA | M.D. | 1679788285 |
| DR. JIMMY CHEN | DMD | 1083820450 |
| DR. RACHEL SHARON KOHL | DDS | 1467669093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.