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MR. JUSTIN ROY GRASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01184600
NJ

Other

Enumeration date
08/02/2021
Last updated
09/11/2021
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