Individual
LEONARD A GROSSMAN
Active
Individual
LEONARD A GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA03747400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0419803000
AMERIHLTH IBC PCP SPEC.
—
01
—
1547974
UNITED HEALTH CARE
—
01
—
160052226
RAILROAD MEDICARE
—
05
—
1651404
—
NJ
01
—
2195157
AETNA SPECIALTY
—
01
—
597405
AMERIHLTH ADMIN PCP SPEC
—
01
—
854535
AETNA PCP
—
01
—
P1308108
OXFORD SPECIALTY
—
01
—
P441630
OXFORD PCP
—
Enumeration date
01/31/2007
Last updated
03/12/2008
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