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Individual

DR. FRED GRUNSEID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1687 RALPH AVE, BROOKLYN, NY 11236-3319
(718) 251-7191
(718) 209-1891
Mailing address
1687 RALPH AVE, BROOKLYN, NY 11236-3319
(718) 251-7191
(718) 209-1891

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166169
NY

Other

Enumeration date
07/18/2006
Last updated
08/17/2007
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