Grau, Juan B

Grau, Juan B is an sole proprietor health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Grau, Juan B can be contacted via phone (201) 447-8371.

Contact Information

Primary practice address
223 N Van Dien Ave Ridgewood NJ 07450-2726
Phone: (201) 447-8371
Fax: (201) 447-8658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA07752800 New Jersey
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 231059 New York

Profile Details

NPI number 1992797542
LBN Legal business name Grau, Juan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Feb 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992797542 NPPES
New York MEDICAID 02440366

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