Individual
ARTHUR VITALIYOVITCH GRIBACHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
114 MOHICAN DR, GALLOWAY, NJ 08205-3444
(609) 277-6744
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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