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Individual

DR. TAMMY R GRUENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
70 W BURNSIDE AVE, BRONX, NY 10453-4016
(718) 483-1270
(718) 228-7471
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1270
(718) 228-7471

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
201227
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01825061
NY
Enumeration date
12/04/2006
Last updated
04/04/2012
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