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Individual

DR. MELVIN SAUL GRUBER

Active
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Individual

DR. MELVIN SAUL GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA02362400
NJ
207N00000X
Dermatology Physician
MD009679E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019039C2B
MEDICARE BILLING NO.
NJ
01
1145452005
CIGNA
NJ
01
16017
AETNA
NJ
Enumeration date
08/31/2006
Last updated
01/11/2008
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