David I Groman, MD
Emergency Medicine in Summit, NJ. Individual provider (NPI-1).
NPI number1790717890
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1790717890
- Entity type
- Individual (NPI-1)
- Name
- David I Groman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA09225500 | NJ | Yes |
| 207P00000X | Emergency Medicine | MD2006-0076 | NM |
Practice location
99 Beauvoir AveSummit, NJ 07901-3533
Phone 908-522-2021
Mailing address
10 Michael RdMendham, NJ 07945-2400
Phone 313-549-8698
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