Individual
DR. DOMINICK A. GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 GLOBE CT, RED BANK, NJ 07701-1824
(732) 219-0110
(732) 212-8818
Mailing address
5 GLOBE CT, RED BANK, NJ 07701-1824
(732) 219-0110
(732) 212-8818
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
25MB04501200
NJ
207R00000X
Internal Medicine Physician
Primary
25MB04501200
NJ
Other
Enumeration date
07/27/2006
Last updated
08/22/2007
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