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Individual
DR. SCOTT ERIC GRUBER
Active
Individual
DR. SCOTT ERIC GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-002731L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0984716
—
PA
01
—
50001390
CAPITAL BLUE CROSS
PA
01
—
50001391
CAPITAL BLUE CROSS
PA
Enumeration date
09/22/2006
Last updated
07/08/2007
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