Individual
PATRICK GRUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 KINGS HWY E, HADDONFIELD, NJ 08033-1206
(800) 774-5516
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(856) 348-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11417656
NJ
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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