Dominick A. Grosso, D.O. Llc
LBN: Dominick A. Grosso, D.O. Llc
Dominick A. Grosso, D.O. Llc is an health care organization with primary practice located at 5 Globe Ct , Red Bank NJ 07701-1824. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Dominick A. Grosso, D.O. Llc can be contacted via phone (732) 219-0110, or through Grosso, Dominick A. via phone (732) 219-0110.
Contact Information
Primary practice address
5 Globe Ct
Red Bank NJ 07701-1824
Phone: (732) 219-0110
Fax: (732) 212-8818
Website:
Authorized official contact:
Name: Grosso, Dominick A. Doctor of Osteopathy (DO)
Phone: (732) 219-0110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 25MB04501200 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB04501200 | New Jersey |
Profile Details
| NPI number | 1063436749 |
|---|---|
| LBN Legal business name | Dominick A. Grosso, D.O. Llc |
| DBA Doing business as | |
| Authorized official | Grosso, Dominick A. Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Aug 22nd, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063436749 | NPPES |
| New Jersey | Other | 2599954 | GHI |
| New Jersey | MEDICAID | 1485601 | GHI |
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