Provider Demographics
NPI:1710283965
Name:GROSSMAN, SETH AARON (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:AARON
Last Name:GROSSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 S ORANGE AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5817
Mailing Address - Country:US
Mailing Address - Phone:973-577-2888
Mailing Address - Fax:973-577-2889
Practice Address - Street 1:200 S ORANGE AVE STE 265
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5817
Practice Address - Country:US
Practice Address - Phone:973-577-2888
Practice Address - Fax:973-577-2889
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09763700207XS0117X
NY269361207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery