Charles R Grubb Do Pc

LBN: Charles R Grubb Do Pc
Charles R Grubb Do Pc is an health care organization with primary practice located at 311 Baltimore St , Phillipsburg NJ 08865. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles R Grubb Do Pc can be contacted via phone (908) 454-8787, or through Koukias, Maryann via phone (908) 454-8787.

Contact Information

Primary practice address
311 Baltimore St Phillipsburg NJ 08865
Fax: (908) 454-1192
Website:
Authorized official contact:
Name: Koukias, Maryann

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB033577 New Jersey

Profile Details

NPI number 1114004546
LBN Legal business name Charles R Grubb Do Pc
DBA Doing business as
Authorized official Koukias, Maryann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114004546 NPPES
Pennsylvania Other 02292400 CAPITAL BLUE CROSS

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