Individual
DR. ELLIOT J GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 CAMPUS AVE, SUITE 208, LEWISTON, ME 04240-6040
(207) 777-8974
(207) 777-8946
Mailing address
7 REEF RD, CAPE ELIZABETH, ME 04107-2809
(207) 767-6561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1457
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287190099
—
ME
Enumeration date
07/11/2006
Last updated
02/25/2021
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