Individual
YAKOV ARYE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
450 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1488
(732) 901-0050
Mailing address
450 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1488
(732) 901-0050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB11917700
NJ
Other
Enumeration date
03/21/2019
Last updated
08/27/2025
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