Individual
KEVIN GROUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
518 E 20TH ST, NEW YORK, NY 10009-8330
(646) 682-3555
Mailing address
518 E 20TH ST, NEW YORK, NY 10009-8330
(646) 682-3555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
330535
NY
Other
Enumeration date
03/21/2019
Last updated
02/14/2025
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