Grodstein, Gerald

Grodstein, Gerald is an individual health care provider with primary practice located at 177 N Dean St Suite 207, Englewood NJ 07631-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Grodstein, Gerald can be contacted via phone (201) 567-0446.

Contact Information

Primary practice address
177 N Dean St Suite 207 Englewood NJ 07631-2533
Phone: (201) 567-0446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA03799200 New Jersey

Profile Details

NPI number 1245211440
LBN Legal business name Grodstein, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245211440 NPPES
New Jersey Other BP293 OXFORD HEALTH
New Jersey Other 412640 OXFORD HEALTH
New Jersey Other 0K3260 OXFORD HEALTH

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