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Individual

YONAH GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
809 RIVER AVE, LAKEWOOD, NJ 08701-5286
(732) 370-3434
Mailing address
809 RIVER AVE, LAKEWOOD, NJ 08701-5286
(732) 370-3434

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP004189900
NJ

Other

Enumeration date
11/23/2016
Last updated
11/23/2016
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