Individual
HARRY DAVID GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BRICK RD, SUITE 115, MARLTON, NJ 08053-2146
(856) 983-1400
(856) 983-1681
Mailing address
100 BRICK RD, SUITE 115, MARLTON, NJ 08053-2146
(856) 983-1400
(856) 983-1681
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA65455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7663307
—
NJ
Enumeration date
10/12/2006
Last updated
07/08/2007
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