Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Grossman, DO

Individual provider Surgery Physician · NPI 1255076410

Jack Grossman, DO is a Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 Ostrum St Bethlehem
Philadelphia, PA 18015
Phone: (484) 526-4000
Fax: (866) 691-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence OT022084 (PA)

Record details

NPI number1255076410
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESJuly 3, 2023
Certification dateJune 21, 2023

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