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Individual

SAUL GRULLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7848 73RD PL, GLENDALE, NY 11385-7426
(718) 963-7272
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30534601
NY
207P00000X
Emergency Medicine Physician
Primary
60059
KY
207P00000X
Emergency Medicine Physician
ME158371
FL
208000000X
Pediatrics Physician
P03103
NY

Other

Enumeration date
08/22/2016
Last updated
04/08/2026
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