Individual
GINA LUCIA GRUBER
Active
Individual
GINA LUCIA GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OA005430
PA
2086X0206X
Surgical Oncology Physician
Primary
MA062097
PA
Other
Enumeration date
03/09/2021
Last updated
06/24/2024
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