Dr. Kenneth A Grossman
Procedural Dermatology
180 White Rd Suite 103
Little Silver
, New Jersey 07739-1166
Dr. Kenneth A Grossman
Procedural Dermatology
180 White Rd Suite 103
Little Silver
, New Jersey 07739-1166
(732) 741-6285
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Kenneth A Grossman
- 180 White Rd Suite 103
- Little Silver, NJ
- Zip : 07739-1166
- Fax : (732) 741-6285
- Phone : (732) 842-5222
Second Address
- Dr. Kenneth A Grossman
- 180 White Rd Suite 103
- Little Silver, NJ
- Zip : 07739-1166
- Fax : (732) 741-6285
- Phone : (732) 842-5222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 25MA04207000 | NJ |
National Provider Identifier
| NPI | 1427012533 |
|---|---|
| Provider Name | Dr. Kenneth A Grossman |
| First Address | Little Silver, NJ 07739-1166 |
| Second Address | Little Silver, NJ 07739-1166 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 25/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C08403 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.