Organization
DAVID S. GRUBBS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. GRUBBS M.D. (PRESIDENT)
(302) 738-7303
Entity
Organization
Contact information
Practice address
K15 OMEGA DRIVE, SUITE 5, NEWARK, DE 19713
(302) 738-7303
(302) 738-7308
Mailing address
K15 OMEGA DRIVE, SUITE 5, NEWARK, DE 19713
(302) 738-7303
(302) 738-7308
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C1-0003022
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001401196
AMERIHEALTH ADMINISTRATOR
DE
01
—
060069291
RAILROAD MEDICARE
DE
05
—
1000015374
—
DE
01
—
1417360006
CIGNA
DE
01
—
174289
COVENTRY OF DELAWARE
DE
01
—
2089779000
AMERIHEALTH
DE
01
—
2751456
AETNA HMO
DE
01
—
417709
OPTIMUM CHOICE MAMSI
DE
01
—
4203484
AETNA
DE
01
—
5283108
NEW JERSEY MEDICAID
DE
Enumeration date
11/14/2006
Last updated
02/20/2013
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