Individual
PROF. DENISE GRUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET AND CIVIC CENER BOULEVARD, PHILADLEPHIA, PA 19104
(215) 590-3174
Mailing address
410 WARWICK RD, HADDONFIELD, NJ 08033-3830
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP001708-D
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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