Individual
DR. MATTHEW JOHN GRUJICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(240) 751-3932
Mailing address
990 CORPORATE DR APT 333, WESTBURY, NY 11590-6719
(240) 751-3932
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
312560
NY
207L00000X
Anesthesiology Physician
35.154792
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
10/15/2025
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