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Individual

LEONARD A GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
419 N HARRISON ST, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481
Mailing address
419 N HARRISON ST, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481

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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