Andrew D Grotzinger, BA
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
Details
- NPI
- 1124645486
- Entity type
- Individual (NPI-1)
- Name
- Andrew D Grotzinger
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2020
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA | Yes |
Practice location
55 Fruit StMassachusetts General Hospital
Boston, MA 02114-2621
Phone 617-726-3648
Mailing address
55 Fruit StMassachusetts General Hospital
Boston, MA 02114-2621
Phone 617-726-3648
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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