Organization
DEBRA GROSSANO MS RD CDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ANN GROSSANO RD (OWNER)
(201) 615-9139
Entity
Organization
Contact information
Practice address
725 RIVER RD, SUITE 106, EDGEWATER, NJ 07020-1171
(201) 615-9139
(866) 391-3047
Mailing address
446 RADCLIFFE ST, WYCKOFF, NJ 07481-3062
(201) 615-9139
(866) 391-3047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
875535
IL
Other
Enumeration date
11/15/2007
Last updated
07/11/2011
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