Most Relevant Information
Provider Data
| NPI Number: | 1003529702 |
| Provider Name: | ALYSSA GROSSMAN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133VN1004X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2022 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
345 BROOK AVE
PASSAIC
NJ
070552424
Practice Location Phone/Fax
| Phone: | 9737674324 |
| Fax: |
Provider Mailing Location
345 BROOK AVE
PASSAIC
NJ
070552424
Provider Mailing Phone/Fax
| Phone: | 9737674324 |
| Fax: |