Individual
JASON GRUENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE RADIOLOGY DEPT, HACKENSACK, NJ 07601
(551) 996-2200
Mailing address
130 KINDERKAMACK RD STE 200, RIVER EDGE, NJ 07661-1951
(201) 488-2660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11416300
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA11416300
NJ
Other
Enumeration date
04/04/2016
Last updated
03/24/2026
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