Organization
PROMED PREFERRED MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEV GRINMAN MD (PHYSICIAN)
(615) 499-3165
Entity
Organization
Contact information
Practice address
277 ROUTE 70 STE 231, TOMS RIVER, NJ 08755-1569
(615) 499-3165
Mailing address
4 LEGENDS CIR, MELVILLE, NY 11747-5302
(615) 499-3165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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