Healthcare Provider Details

I. General information

NPI: 1376588327
Provider Name (Legal Business Name): DANIEL H. GROSSMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CRAWFORDS CORNER RD
HOLMDEL NJ
07733-1976
US

IV. Provider business mailing address

101 CRAWFORDS CORNER RD
HOLMDEL NJ
07733-1976
US

V. Phone/Fax

Practice location:
  • Phone: 732-226-0018
  • Fax: 732-226-3340
Mailing address:
  • Phone: 732-226-0018
  • Fax: 732-226-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00503800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: