| Dominick A. Grosso, D.O. LLC | |
|
5 Globe Ct Red Bank NJ 07701-1824 | |
| (732) 219-0110 | |
| (732) 212-8818 |
| Full Name | Dominick A. Grosso, D.O. LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Globe Ct, Red Bank, New Jersey |
| Authorized Official Name and Position | Dominick A. Grosso (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7322190110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick A. Grosso, D.O. LLC 5 Globe Ct Red Bank NJ 07701-1824 Ph: (732) 219-0110 | Dominick A. Grosso, D.O. LLC 5 Globe Ct Red Bank NJ 07701-1824 Ph: (732) 219-0110 |
| NPI Number | 1063436749 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063436749 | NPI | - | NPPES |
| 2599954 | Other | NJ | GHI |
| 1485601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 25MB04501200 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 25MB04501200 (New Jersey) | Primary |
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