person
Andrew Grollman, MD
Specialist in Albuquerque, New Mexico
NPI 1811157100

Andrew Grollman is a Specialist based in Albuquerque, NM. Andrew Grollman practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Andrew Grollman is 1811157100 and holds a License No. 25MA08386700 (New Mexico).

The current practice location address for Andrew Grollman is 610 Broadway Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-242-3991 and via fax at 505-998-1660.

Location: 610 Broadway Blvd Ne, Albuquerque, NM, 87102-2372
person
Provider Profile Details
NPI Number
1811157100
Provider Name
Andrew Grollman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
610 Broadway Blvd Ne, Albuquerque, NM, 87102-2372
Phone Number
505-242-3991
Fax Number
505-998-1660
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD2010-0319 01 NM NM MEDICAL BOARD LICENSE
45558230 05 NM
institution
Provider Business Practice Location Address Details
Address
610 Broadway Blvd Ne
City
State
Zip
87102-2372
Phone Number
505-242-3991
Fax Number
505-998-1660
person
Provider Business Mailing Address Details
Address
610 Broadway Blvd Ne
City
State
Zip
87102-2372
Phone Number
505-242-3991
Fax Number
505-998-1660
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD2010-0319 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
25MA08386700 (New Jersey)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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