Individual
CONOR NOLAN GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC RHEUMATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-2547
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
MT233117
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2022
Last updated
06/10/2025
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