Individual
MITCHELL STUART GROBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 897-3600
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-084209
IL
2084N0400X
Neurology Physician
Primary
25MA12088100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084209
—
IL
Enumeration date
06/14/2006
Last updated
07/11/2024
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