Type 1 individualNPI 1003529702
ALYSSA GROSSMAN RD
133V00000X · PASSAIC, NJ
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 133V00000X | 133V00000X | Primary |
| 133VN1004X | 133VN1004X | Additional |
| 133VN1201X | 133VN1201X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s