Individual
PETER J GRUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131
(860) 533-6595
Mailing address
71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131
(860) 533-6595
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001015
CT
Other
Enumeration date
03/20/2006
Last updated
10/30/2020
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