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Individual

PROF. DAMARIS GROSSMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, DNP , FNP-C

Contact information

Practice address
150 SANTIAGO AVE, RUTHERFORD, NJ 07070-1640
(732) 501-8349
Mailing address
150 SANTIAGO AVE, RUTHERFORD, NJ 07070-1640
(732) 501-8349

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR16088800
NJ
363L00000X
Nurse Practitioner
26700848400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00848400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114320710
NJ
Enumeration date
09/27/2014
Last updated
10/21/2025
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