IndividualActive
Wendy Grossman, DPM
NPI 1124194410 · Sports Medicine Podiatrist · Bloomfield, NJ
Provider details
- NPI number
- 1124194410
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MD00230300 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
905 Broad St
Bloomfield, NJ 07003-2869
Phone: (973) 566-0811
Fax: (973) 566-0833
Approximate (ZIP-level) locationGet directions
Mailing address
905 Broad St
Bloomfield, NJ 07003-2869
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2012-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.