person
Dr. Wendy Lynn Grossman, DPM
Sports Medicine Podiatrist in Bloomfield, New Jersey
NPI 1124194410

Wendy Lynn Grossman is a Sports Medicine Podiatrist based in Bloomfield, NJ and is specialized in Sports Medicine. Wendy Lynn Grossman practices in Bloomfield, NJ and has the professional credentials of DPM. The NPI Number for Wendy Lynn Grossman is 1124194410 and holds a License No. 25MD00230300 (New Jersey).

The current practice location address for Wendy Lynn Grossman is 905 Broad St, Bloomfield, NJ and can be reached out via phone at 973-566-0811 and via fax at 973-566-0833.

Location: 905 Broad St, Bloomfield, NJ, 07003-2869
person
Provider Profile Details
NPI Number
1124194410
Provider Name
Wendy Lynn Grossman
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
905 Broad St, Bloomfield, NJ, 07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6641601 05 NJ
institution
Provider Business Practice Location Address Details
Address
905 Broad St
City
State
Zip
07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833
person
Provider Business Mailing Address Details
Address
905 Broad St
City
State
Zip
07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
25MD00230300 (New Jersey)
Definition
Definition to come...
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