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Individual

DR. MARTIN A GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(516) 432-1872
Mailing address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(516) 432-1872

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
080791
NY

Other

Enumeration date
11/01/2006
Last updated
04/28/2011
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