Organization
GENERATIONS PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL H GROSSMAN DC (PRESIDENT)
(732) 671-3535
Entity
Organization
Contact information
Practice address
14 CHERRY TREE FARM ROAD, MIDDLETOWN, NJ 07748-2297
(732) 671-3535
(732) 671-0829
Mailing address
14 CHERRY TREE FARM ROAD, MIDDLETOWN, NJ 07748-2297
(732) 671-3535
(732) 671-0829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
174400000X
Specialist
25MA07722700
NJ
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/19/2006
Last updated
07/20/2012
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