Wendy Lynn Grossman in Bloomfield - Sports Medicine
Wendy Lynn Grossman - NPI 1124194410
Wendy Lynn Grossman is a Sports Medicine in Bloomfield, New Jersey. Wendy Lynn Grossman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Wendy Lynn Grossman is 1124194410. The last update date is 2012-09-14.
Wendy Lynn Grossman's current location address is 905 Broad St, Bloomfield, New Jersey. You can contact this provider via phone number 9735660811 and fax number 9735660833. The mailing address for Wendy Lynn Grossman is 905 Broad St, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Lynn Grossman |
|---|---|
| Address | 905 Broad St, Bloomfield, New Jersey |
| Phone Number | 9735660811 |
| Fax Number | 9735660833 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1124194410 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2012-09-14 |
Provider Mailing Address Detail
| Address | 905 Broad St |
|---|---|
| City | Bloomfield |
| State | New Jersey (NJ) |
| Post Code | 70032869 |
| Phone Number | 9735660811 |
| Fax Number | 9735660833 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 25MD00230300 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6641601 | NJ | -- |
Post Comment/ Review Below
What is the Wendy Lynn Grossman's 1124194410?
The Wendy Lynn Grossman's NPI (National Provider Identifier) Number is 1124194410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wendy Lynn Grossman's facilities are geographically located?
The facilities of Wendy Lynn Grossman are physically situated at the following location: 905 Broad St, Bloomfield, NJ, 70032869.
What is the Wendy Lynn Grossman's specialty and taxonomy code?
The Wendy Lynn Grossman's specialty is Sports Medicine, and the corresponding taxonomy code is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124194410 to Wendy Lynn Grossman?
The Centers for Medicare & Medicaid Services originally issued the 1124194410 to Wendy Lynn Grossman on 2006-11-28.
As of what date was the information pertaining to Wendy Lynn Grossman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wendy Lynn Grossman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-14.