Individual
DR. BRADLEY GRIBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300B PRINCETON HIGHTSTOWN RD, SUITE 203, EAST WINDSOR, NJ 08520-1400
(609) 448-7300
Mailing address
300B PRINCETON HIGHTSTOWN RD, SUITE 203, EAST WINDSOR, NJ 08520-1400
(609) 448-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06483100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0683394000
AMERIHEALTH HMO
—
01
—
10657716
CAQH
—
01
—
2695913
GHI
—
01
—
2K2596
HEALTHNET
—
01
—
360713
AMERIHEALTH PPO
—
Enumeration date
07/07/2006
Last updated
10/30/2014
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