Individual
BROOKE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1001 N 2ND ST # E552, PHILADELPHIA, PA 19123-1612
(516) 647-1141
Mailing address
1001 N 2ND ST # E552, PHILADELPHIA, PA 19123-1612
(516) 647-1141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006778
PA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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