Organization
LEONARD J. GROSSMAN. MD
Active
Other names
Pediatric & Adolescent Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD J GROSSMAN M.D. (MEDICAL DOCTOR)
(973) 347-8500
Entity
Organization
Contact information
Practice address
1911 ROUTE 46, LEDGEWOOD, NJ 07852
(973) 347-8500
(973) 347-7320
Mailing address
1911 ROUTE 46, P O BOX 500, NETCONG, NJ 07857-0500
(973) 347-8500
(973) 347-7320
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
25MA02924700
NJ
Other
Enumeration date
05/02/2008
Last updated
06/19/2008
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