Grodberg, Michele
Grodberg, Michele is an individual health care provider with primary practice located at 106 Grand Ave , Englewood NJ 07631-3574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Grodberg, Michele can be contacted via phone (201) 567-8884.Contact Information
Primary practice address
106 Grand Ave
Englewood NJ 07631-3574
Phone: (201) 567-8884
Fax: (201) 567-5799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA05620200 | New Jersey |
Profile Details
| NPI number | 1225047038 |
|---|---|
| LBN Legal business name | Grodberg, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
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