Grossman, Harry David

Grossman, Harry David is an sole proprietor health care provider with primary practice located at 100 Brick Rd Suite 115, Marlton NJ 08053-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grossman, Harry David can be contacted via phone (856) 983-1400.

Contact Information

Primary practice address
100 Brick Rd Suite 115 Marlton NJ 08053-2146
Fax: (856) 983-1681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA65455 New Jersey

Profile Details

NPI number 1043309487
LBN Legal business name Grossman, Harry David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043309487 NPPES
New Jersey MEDICAID 7663307

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