Individual
CHARLES FV GRUNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 REHILL AVENUE, SOMERSET MEDICAL CENTER, SOMERVILLE, NJ 08876
(908) 685-2920
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA02409400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4757602
—
NJ
Enumeration date
07/10/2006
Last updated
07/08/2007
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