| Doctor Name: | GIFFORD GRIMM |
| NPI Number: | 1437120649 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MA15387 |
| Business Practice Address: | 1924 Highway 35 Wall Township, NJ - 077193530 |
| Business Phone Number: | 7329748404 |
| Business Fax Number: | 7329748904 |
| Mailing Address: | 1924 Highway 35, WALL TOWNSHIP |
| State: | NJ |
| Postal Code: | 077193530 |
| Phone Number: | 7329748404 |
| Fax Number: | 7329748904 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 03/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MA15387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |