Individual
JOSHUA GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(757) 377-9331
Mailing address
328 GRACE ST, SMITHFIELD, VA 23430-1112
(757) 377-9331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT016645
PA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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