Individual
DR. ANDREY GRITSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 NORTH VAN DIEN AVENUE, VALLEY HOSPITAL, RIDGEWOOD, NJ 07450
(201) 447-8242
(201) 447-8657
Mailing address
PO BOX 266, LEWISBERRY, PA 17339-0266
(800) 223-0925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
60261
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA06026100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6067000
—
NJ
Enumeration date
01/08/2007
Last updated
09/06/2007
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