Gruber, David M

Gruber, David M is an individual health care provider with primary practice located at 138 Haverhill St Suite 200, Andover MA 01810-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gruber, David M can be contacted via phone (978) 475-4322.

Contact Information

Primary practice address
138 Haverhill St Suite 200 Andover MA 01810-1509
Fax: (978) 474-4537
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 207782 Massachusetts

Profile Details

NPI number 1649299256
LBN Legal business name Gruber, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649299256 NPPES
Massachusetts Other 401223 HARVARD
Massachusetts Other 207782 HARVARD
Massachusetts Other J24588 HARVARD
Massachusetts Other 55400 HARVARD
Massachusetts Other 0300329 HARVARD
Massachusetts Other 2747691 HARVARD

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