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Individual

DR. ALBERT E GROSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
940 AMBOY AVE, EDISON, NJ 08837-2811
(732) 738-1666
(732) 738-8132
Mailing address
940 AMBOY AVE, EDISON, NJ 08837-2811
(732) 738-1666
(732) 738-8132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5058
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5655609
NJ
Enumeration date
12/19/2006
Last updated
04/05/2011
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