Individual
DR. CHARLES R GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3794 HECKTOWN RD STE 250, EASTON, PA 18045-2355
(484) 544-0122
Mailing address
311 BALTIMORE ST, PHILLIPSBURG, NJ 08865-1841
(908) 454-8787
(908) 454-1192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB03357700
NJ
207Q00000X
Family Medicine Physician
Primary
OS003693L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051817
HORIZON BC/BS
NJ
01
—
2118788002
AMERIHEALTH
NJ
01
—
223713972
UNITED HEALTHCARE
NJ
05
—
2862905
—
NJ
01
—
2K2095
ACS/HEALTHNET
NJ
01
—
530507
AETNA
NJ
01
—
P591243
OXFORD
NJ
Enumeration date
03/24/2006
Last updated
09/26/2022
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