Individual
DR. ERIC GRUBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC, NASPE
Contact information
Practice address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Mailing address
2 DEVINE STREET, SUITE # 1, NORTH HAVEN, CT 06473-2193
(203) 789-2272
(203) 865-8614
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036758
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036758
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001367582
—
CT
01
—
060050666
MEDICARE RAILROAD PIN
CT
Enumeration date
08/11/2006
Last updated
07/08/2013
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