Individual
DR. JASON M. GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
99 OLD MATAWAN RD., OLD BRIDGE, NJ 08857-1427
(732) 679-4330
(732) 679-4777
Mailing address
99 OLD MATAWAN RD., OLD BRIDGE, NJ 08857
(732) 679-4330
(732) 679-4777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00288400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9053506
—
NJ
Enumeration date
11/03/2005
Last updated
10/24/2022
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