Individual
DR. BENJAMIN J GRUDINSKAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 669-5300
Mailing address
1 ELLIOT WAY, SUITE 200, MANCHESTER, NH 03103-3502
(603) 623-4640
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30204516
—
NH
Enumeration date
07/11/2005
Last updated
01/23/2023
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