Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WENDY LYNN GROSSMAN, DPM
Active Sole ProprietorDR. WENDY LYNN GROSSMAN, DPM is a Sports Medicine Podiatrist healthcare provider located in BLOOMFIELD, New Jersey. NPI 1124194410 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · BLOOMFIELD, NJ
Registration Details
- NPI Number
- 1124194410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2006 (19.75411064538 yrs)
- Last Updated
- Sep 14, 2012
- License
-
25MD00230300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 BROAD STBLOOMFIELD, NJ, 070032869Browse NJ providers · Browse ZIP 07003
- Phone
- 9735660811
- Fax
- 9735660833
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.