Grosso, Albert E

Grosso, Albert E is an individual health care provider with primary practice located at 940 Amboy Ave , Edison NJ 08837-2811. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grosso, Albert E can be contacted via phone (732) 738-1666.

Contact Information

Primary practice address
940 Amboy Ave Edison NJ 08837-2811
Fax: (732) 738-8132
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5058 New Jersey

Profile Details

NPI number 1609939537
LBN Legal business name Grosso, Albert E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Apr 5th, 2011 - about 13 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 1609939537 NPPES
New Jersey MEDICAID 5655609

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