Individual
JUNE EDITH GRUTZMACHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 N UNION ST, LAMBERTVILLE, NJ 08530
(609) 397-0007
(609) 397-0696
Mailing address
173 N UNION ST, LAMBERTVILLE, NJ 08530-1629
(609) 397-0007
(609) 397-0696
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA47890
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3369102
—
NJ
01
—
P3597507
OXFORD
—
Enumeration date
10/26/2005
Last updated
07/08/2007
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