Individual
DR. AMANDA J GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 RUSSELL ST, SOMERVILLE, MA 02144-3023
(617) 832-5800
Mailing address
41 RUSSELL ST, SOMERVILLE, MA 02144-3023
(617) 832-5800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76540
MA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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