Individual
JAMIE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1760 OLD MEADOW ROAD, SUITE 500, MC LEAN, VA 22102-4306
(703) 810-5217
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-5400
(732) 923-5404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101275088
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2016
Last updated
08/02/2022
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