Gruenwald, Laurence
Gruenwald, Laurence is an individual health care provider with primary practice located at 90 Millburn Ave Suite 101, Millburn NJ 07041-1945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gruenwald, Laurence can be contacted via phone (973) 378-7990.Contact Information
Primary practice address
90 Millburn Ave Suite 101
Millburn NJ 07041-1945
Phone: (973) 378-7990
Fax: (973) 378-7991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA03453900 | New Jersey |
Profile Details
| NPI number | 1508868191 |
|---|---|
| LBN Legal business name | Gruenwald, Laurence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508868191 | NPPES |
| New Jersey | MEDICAID | 1647300 |
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