# ROBERT B GROSSMAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790141752
- **Authorized official:** DR. ROBERT BARRY GROSSMAN M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (732) 889-3800

## Contact information

- **Practice address:** 1131 BROAD ST, SUITE 104, SHREWSBURY, NJ 07702-4329
- **Practice address phone:** (732) 889-3800
- **Mailing address:** 332 OVAL RD, MANASQUAN, NJ 08736-2057
- **Mailing address phone:** (732) 889-3800
- **Mailing address fax:** (732) 542-4847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 01/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GRO56639 | MEDICARE ID \# | NJ |