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Individual

DR. ALEJANDRO A GRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 W 168TH ST # VC15-209, NEW YORK, NY 10032-3725
(212) 342-3980
Mailing address
630 W 168TH ST # VC15-209, NEW YORK, NY 10032-3725
(212) 342-3980

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
314193
NY
207ZP0101X
Anatomic Pathology Physician
314193
NY

Other

Enumeration date
04/14/2007
Last updated
05/30/2023
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