Individual
DEANA B GRUENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
111 WEST WATER STREET, TOMS RIVER, NJ 08754
(732) 244-4700
(732) 244-2804
Mailing address
PO BOX 4979, TOMS RIVER, NJ 08754-4979
(732) 244-4700
(732) 244-2804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
011209
NY
363A00000X
Physician Assistant
Primary
011209
NY
Other
Enumeration date
07/12/2006
Last updated
01/16/2009
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