Provider Demographics
NPI:1063571347
Name:GROSSI, CRISTINA MARIA (DC)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MARIA
Last Name:GROSSI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 VINAL AVE
Mailing Address - Street 2:#1
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1820
Mailing Address - Country:US
Mailing Address - Phone:781-504-7490
Mailing Address - Fax:617-440-1689
Practice Address - Street 1:5245 MALVERN CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-3749
Practice Address - Country:US
Practice Address - Phone:781-504-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2633111N00000X
FL14058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45474Medicare ID - Type Unspecified