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Individual

JOSHUA GRUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
869 SALEM AVE, HILLSIDE, NJ 07205-3038
(908) 354-7227
Mailing address
869 SALEM AVE, HILLSIDE, NJ 07205-3038
(908) 354-7227

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
95724
NJ
2255A2300X
Athletic Trainer
Primary
959
NE

Other

Enumeration date
10/08/2018
Last updated
12/03/2019
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