Individual
DR. SANTO VINCENT GRASSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
102 RIDGE RD, RUTHERFORD, NJ 07070-2422
(201) 725-2129
Mailing address
102 RIDGE RD, RUTHERFORD, NJ 07070-2422
(201) 725-2129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06866600
NJ
208D00000X
General Practice Physician
Primary
MB68666
NJ
Other
Enumeration date
03/16/2007
Last updated
08/05/2026
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