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Contact Information

ELLIOT A GROSSMAN, MD
205 RIDGEDALE AVE
FLORHAM PARK, NJ07932
 Phone: 973-966-6333
 Fax: 973-301-0435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ELLIOT A GROSSMAN · (Male)

NPI Number 1194755710
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 148891
  • NJ License # MA51708
  • NJ Medicaid 3435903
  • NJ Other 0137908000 AMERIHEALTH
  • NJ Other 464285 KEYSTONE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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