Individual
SIMON ALEXANDER GRINGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
179 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-9207
(570) 421-8526
(570) 424-2899
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(570) 501-6368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263389
MA
207RC0000X
Cardiovascular Disease Physician
ME141431
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD480097
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME141431
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2010
Last updated
01/22/2024
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