Spencer J Grossman (NPI# 1477624559, PAC ID# 4385958958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DENTIST.
| Nation Provider ID (NPI) | 1477624559 |
| PAC ID by PECOS | 4385958958 |
| Professional Enrollment ID | I20171208000331 |
| Full Name | Spencer J Grossman |
| Address |
601 E Broad St 200 Indian Valley Dental Associates Souderton PA 18964-1263 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | DENTIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 601 E Broad St, 200 Indian Valley Dental Associates, Souderton, PA 18964-1263 |
| Street Address |
601 E BROAD ST 200 INDIAN VALLEY DENTAL ASSOCIATES |
| City | SOUDERTON |
| State | PA |
| Zip | 18964-1263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liliya N. Kalyan | Podiatry | Indian Valley Podiatry Associates PC | 601 E Broad St, 220 Indian Valley Podiatry Assocs PC, Souderton, PA 18964-1263 |
| Michelle D Morrissey | Podiatry | Indian Valley Podiatry Associates PC | 601 E Broad St, 220 Indian Valley Podiatry Assocs PC, Souderton, PA 18964-1263 |
| Philip Joseph Bresnahan | Podiatry | Indian Valley Podiatry Associates PC | 601 E Broad St, 220 Indian Valley Podiatry Assocs PC, Souderton, PA 18964-1263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchel L Abrams | Optometry | 15 W Garfield Ave, Souderton, PA 18964 | |
| Christine Mcguinness | Nurse Practitioner | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Nancy Diamond Offner | Physical Therapy | Jack A. Parry Pt Inc. | 723 Route 113 6, Souderton, PA 18964-1000 |
| Danielle Festa | Nurse Practitioner | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Gerald F Cocchiaro | Internal Medicine | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Lori E Rousche | Family Medicine | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Ashley J Lehman | Nurse Practitioner | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Jack A Parry | Physical Therapy | Jack A. Parry Pt Inc. | 723 Route 113 6, Souderton, PA 18964-1000 |
| Susan K Underwood | Family Medicine | Trivalley Primary Care PC | 777 Route 113, Souderton, PA 18964-1000 |
| Boben Babu | Physical Therapy | Jack A. Parry Pt Inc. | 723 Route 113 6, Souderton, PA 18964-1000 |
| Find all physicians in zip 18964 | |||
| City | SOUDERTON |
| Zip Code | 18964 |
| Specialty | DENTIST |
| City + Specialty | SOUDERTON + DENTIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.