Organization
HARRY GROSSMAN, MD
Active
Other names
Garden State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY GROSSMAN MD (SUPERVISOR)
(856) 983-1400
Entity
Organization
Contact information
Practice address
100 BRICK RD, 115, MARLTON, NJ 08053-2146
(856) 983-1400
(856) 983-1681
Mailing address
100 BRICK RD, 115, MARLTON, NJ 08053-2146
(856) 983-1400
(856) 983-1681
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA65455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099717
—
NJ
Enumeration date
05/15/2007
Last updated
11/18/2008
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