Individual
DR. JEREMY GRUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 ROBINSON AVE, NEWBURGH, NY 12550-3353
(845) 357-7245
Mailing address
320 ROBINSON AVE, NEWBURGH, NY 12550-3353
(845) 357-7245
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10184200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
274607-1
NY
2085R0202X
Diagnostic Radiology Physician
A134617
CA
Other
Enumeration date
06/07/2010
Last updated
09/08/2021
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