Individual
MELISSA GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
788 SHREWSBURY AVE, QUAKER SQUARE, TINTON FALLS, NJ 07724-3080
(732) 758-1800
Mailing address
819 12TH AVE, REAR, BELMAR, NJ 07719-2751
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AMTA 165651
NJ
Other
Enumeration date
12/09/2007
Last updated
12/09/2007
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