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Individual

DR. SCOTT ERIC GRUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
171 DELAWARE AVE, PALMERTON, PA 18071-1708
(610) 826-7332
(610) 824-6564
Mailing address
PO BOX 121, PALMERTON, PA 18071-0121
(610) 826-7332
(610) 824-6564

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-002731L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0984716
PA
01
50001390
CAPITAL BLUE CROSS
PA
01
50001391
CAPITAL BLUE CROSS
PA
Enumeration date
09/22/2006
Last updated
07/08/2007
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