Individual
ROBERT B GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1131 BROAD ST, SUITE 104, SHREWSBURY, NJ 07702-4329
(732) 889-3800
(732) 542-4847
Mailing address
1131 BROAD ST, SUITE 104, SHREWSBURY, NJ 07702-4329
(732) 889-3800
(732) 542-4847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MA33076
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA03307600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2519305
—
NJ
Enumeration date
05/13/2006
Last updated
11/13/2018
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