Individual
DR. JUAN B GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8371
(201) 447-8658
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8371
(201) 447-8658
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
231059
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA07752800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02440366
—
NY
Enumeration date
08/19/2005
Last updated
02/15/2011
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