Grosberg, Susan L.

Grosberg, Susan L. is an sole proprietor health care provider with primary practice located at 38 Redwood Ave , West Orange NJ 07052-3615. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grosberg, Susan L. can be contacted via phone (610) 246-2793.

Contact Information

Primary practice address
38 Redwood Ave West Orange NJ 07052-3615
Phone: (610) 246-2793
Fax: (973) 532-6751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00183700 New Jersey

Profile Details

NPI number 1346391422
LBN Legal business name Grosberg, Susan L.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jan 12th, 2022 - about 2 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 1346391422 NPPES
Pennsylvania Other 11487528 CAQH
Pennsylvania Other P00327536 CAQH
Pennsylvania Other 000760388 CAQH
Pennsylvania Other 0567202000 CAQH
Pennsylvania Other 000760388 CAQH

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