Individual
KATHERINE GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 JACK MARTIN BLVD STE 300, BRICK, NJ 08724-7737
(732) 840-0067
(732) 548-7408
Mailing address
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753-4488
(732) 897-3990
(732) 897-3997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00589200
NJ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
26NJ005892500
NJ
Other
Enumeration date
09/21/2015
Last updated
09/29/2021
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