Individual provider · Type 1 NPI
Wendy Lynn Grossman, DPM
Sports Medicine Podiatrist · Bloomfield, NJ
NPI number
1124194410
Active
Practice location
905 Broad St
Bloomfield, NJ 07003-2869
Fax (973) 566-0833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist Primary | 213ES0000X | 25MD00230300 (NJ) |
Sports Medicine Podiatrist: Definition to come...
About NPI 1124194410
Wendy Lynn Grossman, DPM's National Provider Identifier is 1124194410, issued on Nov 28, 2006. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Bloomfield, NJ. The record was last updated on Sep 14, 2012.