Grasso, Michael Anthony
Grasso, Michael Anthony is an individual health care provider with primary practice located at 111 Northfield Avenue Suite 311, West Orange NJ 07052-4703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Grasso, Michael Anthony can be contacted via phone (973) 325-2103.Contact Information
Primary practice address
111 Northfield Avenue Suite 311
West Orange NJ 07052-4703
Phone: (973) 325-2103
Fax: (973) 325-2254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA02860400 | New Jersey |
Profile Details
| NPI number | 1821063785 |
|---|---|
| LBN Legal business name | Grasso, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821063785 | NPPES |
| New Jersey | MEDICAID | 1207202 |
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