Individual
MR. MAX GRUENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ANDERSON AVE, FAIRVIEW, NJ 07022-1103
(201) 941-7170
Mailing address
258 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1113
(201) 941-1264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00475600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00475600
PHARMACY
NJ
Enumeration date
02/18/2008
Last updated
02/18/2008
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