Doctor Name: | KATHERINE GRASSO |
NPI Number: | 1184093106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NJ005892500 |
Business Practice Address: | 34 Sycamore Ave Suite 2a Little Silver, NJ - 077391228 |
Business Phone Number: | 7327479310 |
Business Fax Number: | |
Mailing Address: | 34 Sycamore Ave, Suite 2a LITTLE SILVER |
State: | NJ |
Postal Code: | 077391228 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 26NJ005892500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |