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Individual

DR. JEROLD GRUBMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 PARSONAGE RD, SUITE 118, EDISON, NJ 08837-2429
(732) 494-9400
Mailing address
10 PARSONAGE RD, SUITE 118, EDISON, NJ 08837-2429
(732) 494-9400

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02705000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0563124
AETNA HMO ID #
NJ
01
288071
EMPIRE BC/BS OF NY EDISON
NY
01
288072
EMPIRE BC/BS OF NY OB
NY
01
340005177
RR MEDICARE ID #
NJ
01
4207487
AETNA PPO ID #
NJ
01
5709962
GHI PPO
NJ
01
MS188
OXFORD ID #
NJ
Enumeration date
08/15/2006
Last updated
03/14/2011
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