Individual
DR. RONALD STEVEN GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1236 BRACE RD, STE D, CHERRY HILL, NJ 08034-3229
(856) 795-7674
(856) 795-6622
Mailing address
1236 BRACE RD, STE D, CHERRY HILL, NJ 08034-3229
(856) 795-7674
(856) 795-6622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1129
NJ
103T00000X
Psychologist
PS001860L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099425000
INDEP BLUE CROSS
—
01
—
4348151
AETNA
—
Enumeration date
12/12/2006
Last updated
07/08/2007
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