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Individual

JOSHUA DAVID GRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1 DAG HAMMARSKJOLD BLVD, STE 5, FREEHOLD, NJ 07728-5222
(732) 780-0769
(732) 414-7800
Mailing address
1 DAG HAMMARSKJOLD BLVD, STE 5, FREEHOLD, NJ 07728-5222
(732) 780-0769
(732) 414-7800

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD002665
NJ
213ES0131X
Foot Surgery Podiatrist
N005589
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02217701
NY
05
8774404
NJ
Enumeration date
08/31/2006
Last updated
04/03/2020
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