Individual
DR. PETER J GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,. PH.D
Contact information
Practice address
330 CEDAR ST FL BB2, NEW HAVEN, CT 06510
(610) 888-9455
Mailing address
668 MILTON RD APT A, RYE, NY 10580-3227
(610) 888-9455
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
57299
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053409458
—
UT
Enumeration date
10/11/2006
Last updated
06/27/2018
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