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Individual
GERALD GRODSTEIN
Active
Individual
GERALD GRODSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA03799200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K3260
HEALTH NET
NJ
01
—
412640
CIGNA
NJ
01
—
BP293
OXFORD HEALTH
NJ
Enumeration date
11/07/2005
Last updated
11/08/2007
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