DR. Jonathan Taylor Grossman, DO is a student in an organized health care education training program in Manchester, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jonathan Taylor Grossman, DO NPI is 1093210114. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
71 HAYNES ST
MANCHESTER, CT
ZIP 06040-131
Phone: (860) 533-4679
Fax: (860) 645-4151
The NPI 1093210114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.