Individual
DR. BRADLEY GRIBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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