Individual provider · NPI-1

Mitchell Stuart Grobman, MD

Psychiatry & Neurology, Neurology · Neptune, NJ

NPI number1073556056
StatusActive
Last updated in NPPESJul 11, 2024

Details

NPI
1073556056
Entity type
Individual (NPI-1)
Name
Mitchell Stuart Grobman
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2006
Certification date
Jul 11, 2024
Last updated
Jul 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology25MA12088100NJYes
174400000X Specialist036-084209IL

Practice location

1945 State Route 33
Neptune, NJ 07753-4859

Phone 732-897-3600

Mailing address

331 Newman Springs Rd
Bldg 2, Ste 220
Red Bank, NJ 07701-5688

Other practice locations

1900 Hollister Dr
Suite 250
Libertyville, IL 60048-5233

Phone 847-549-0055 · Fax 847-549-0404

1500 Sw 10th Ave
Topeka, KS 66604-1301

Phone 785-357-2554 · Fax 785-354-0549

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