Individual
ELLIOT A GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932
(973) 966-6333
(973) 301-0435
Mailing address
205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932
(973) 966-6333
(973) 301-0435
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
148891
NJ
2084N0400X
Neurology Physician
Primary
MA51708
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137908000
AMERIHEALTH
NJ
05
—
3435903
—
NJ
01
—
464285
KEYSTONE
NJ
Enumeration date
07/03/2006
Last updated
07/08/2007
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