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Individual

MR. DAVID M GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207782
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0300329
UNITED HEALTHCARE
MA
01
207782
TUFTS
MA
01
2747691
AETNA
MA
01
401223
HARVARD
MA
01
55400
FALLON
MA
01
J24588
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
07/08/2007
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