Individual
MAYER GRUNFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 REID AVE, PASSAIC, NJ 07055-3510
(416) 277-4086
Mailing address
35 REID AVE, PASSAIC, NJ 07055-3510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
313225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313225
NYS PHYSICIAN LICENSE NUMBER
NY
Enumeration date
10/03/2021
Last updated
10/04/2021
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