Individual
IGOR GROSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 SOUTH AVE E UNIT A, CRANFORD, NJ 07016-3200
(908) 272-7990
(908) 272-7990
Mailing address
570 SOUTH AVE E UNIT A, CRANFORD, NJ 07016-3200
(908) 272-7990
(908) 272-7970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2019
Last updated
03/21/2022
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