Provider Demographics
NPI:1083894182
Name:GROSSMAN, ABIGAIL M (MD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:M
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:815 FREDERICK CT
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1088
Mailing Address - Country:US
Mailing Address - Phone:201-848-1375
Mailing Address - Fax:201-848-6042
Practice Address - Street 1:22 MADISON AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2734
Practice Address - Country:US
Practice Address - Phone:201-291-9797
Practice Address - Fax:201-291-9798
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2024-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07066400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics